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Acute acalculous cholecystitis in child with systemic juvenile idiopathic arthritis, unreported manifestation.
Mod Rheumatol Case Rep. 2021 01; 5(1):40-42.MR

Abstract

Acute acalculous cholecystitis is a gallbladder wall inflammation without gallstones. It was not reported before as a manifestation of systemic juvenile idiopathic arthritis. Here, we describe a 13-month-old boy presented with prolonged intermittent fever, skin rash, arthritis, serositis, and hepatomegaly. After workup, he was diagnosed with systemic juvenile idiopathic arthritis and acute acalculous cholecystitis based on an ultrasound abdomen showing thick gallbladder wall with free fluid. After treatment with three days of intravenous pulse methylprednisolone, he improved dramatically, and repeated ultrasounds showed normal gallbladder. This suggests that Acute acalculous cholecystitis can be a part of systemic juvenile idiopathic arthritis and hypothesised that surgical intervention can be avoided with the use of corticosteroids.

Authors+Show Affiliations

Department of Pediatric Rheumatology, King Saud Medical City, Riyadh, Saudi Arabia.Department of Pediatric Rheumatology, King Saud Medical City, Riyadh, Saudi Arabia.Department of Pediatric Rheumatology, King Saud Medical City, Riyadh, Saudi Arabia.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

32697135

Citation

AlMutairi, Abdulaziz M., et al. "Acute Acalculous Cholecystitis in Child With Systemic Juvenile Idiopathic Arthritis, Unreported Manifestation." Modern Rheumatology Case Reports, vol. 5, no. 1, 2021, pp. 40-42.
AlMutairi AM, AlEid W, Abanomi H. Acute acalculous cholecystitis in child with systemic juvenile idiopathic arthritis, unreported manifestation. Mod Rheumatol Case Rep. 2021;5(1):40-42.
AlMutairi, A. M., AlEid, W., & Abanomi, H. (2021). Acute acalculous cholecystitis in child with systemic juvenile idiopathic arthritis, unreported manifestation. Modern Rheumatology Case Reports, 5(1), 40-42. https://doi.org/10.1080/24725625.2020.1794532
AlMutairi AM, AlEid W, Abanomi H. Acute Acalculous Cholecystitis in Child With Systemic Juvenile Idiopathic Arthritis, Unreported Manifestation. Mod Rheumatol Case Rep. 2021;5(1):40-42. PubMed PMID: 32697135.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acute acalculous cholecystitis in child with systemic juvenile idiopathic arthritis, unreported manifestation. AU - AlMutairi,Abdulaziz M, AU - AlEid,Weam, AU - Abanomi,Hind, Y1 - 2020/07/22/ PY - 2020/7/23/pubmed PY - 2021/9/21/medline PY - 2020/7/23/entrez KW - Acute acalculous cholecystitis KW - gallbladder wall thickness KW - systemic juvenile idiopathic arthritis SP - 40 EP - 42 JF - Modern rheumatology case reports JO - Mod Rheumatol Case Rep VL - 5 IS - 1 N2 - Acute acalculous cholecystitis is a gallbladder wall inflammation without gallstones. It was not reported before as a manifestation of systemic juvenile idiopathic arthritis. Here, we describe a 13-month-old boy presented with prolonged intermittent fever, skin rash, arthritis, serositis, and hepatomegaly. After workup, he was diagnosed with systemic juvenile idiopathic arthritis and acute acalculous cholecystitis based on an ultrasound abdomen showing thick gallbladder wall with free fluid. After treatment with three days of intravenous pulse methylprednisolone, he improved dramatically, and repeated ultrasounds showed normal gallbladder. This suggests that Acute acalculous cholecystitis can be a part of systemic juvenile idiopathic arthritis and hypothesised that surgical intervention can be avoided with the use of corticosteroids. SN - 2472-5625 UR - https://www.unboundmedicine.com/medline/citation/32697135/Acute_acalculous_cholecystitis_in_child_with_systemic_juvenile_idiopathic_arthritis_unreported_manifestation_ L2 - https://www.diseaseinfosearch.org/result/1342 DB - PRIME DP - Unbound Medicine ER -