TATALAKSANA ARTRITIS REUMATOID JUVENIL SISTEMIK  

Oleh:

Suraiyah ; Siregar, Sjawitri P.

Jenis: Article from Journal - ilmiah nasional - tidak terakreditasi DIKTI
Dalam koleksi: Medika Islamika (Jurnal Kedokteran, Kesehatan dan Keislaman) vol. 04 no. 02 (Nov. 2006), page 119.
Topik: Juvenile; Rheumatoid Arthritis; Systemic; Therapy

Ketersediaan

Perpustakaan FK Nomor Panggil: M51.K Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Juvenile rheumatoid arthritis (JRA) is a rheumatic disease which commonly found in children. Systemic onset juvenile rheumatoid arthritis (So JRA) is a type of JRA only found in 10%. Systemic onset JRA often appears in severe clinical manifestation with uncommon complications such as fever and anemia as we see in this case. Although JRA is the most common rheumatic disease in children, other possible diagnosis must be excluded. This is the case of9 years old boy with diagnosed systemic onset JRA (SoJRA). Although majority ofSoJRA respond well to NSAIDS, a few cases gave poor respond to treatment. Irresponsive clinical condition to NSAID and corticosteroid dependent/ prompt us to change therapy to DMARD. Treatment ofSoJRA should be adjusted to induce remission and maintain long-term disease remission. A multidisciplinary team should be involved. This case is an uncontrolled SoJRA with unproper medication that left this patient with abnormal gait. Corticosteroid intraarticular in JRA often shows good result but that is not appropriate in this patient. At the first time anemia due to iron deficiency and has been getting normal after sulfas ferrosus treatment for 4 months. Anemia appeared again after we gave MTX for 6 months that due to side effects of drug and also disease. This patient should be monitored continuously to keep theurapeutic compliance, to achieve the goal of therapy and also to monitor side effects of long-term therapy.

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