Importance of Early and Multidisciplinary Intervention in Patients with Coexistent Juvenile Idiopathic Arthritis and Familial Mediterranean Fever
TURKIYE FIZIKSEL TIP VE REHABILITASYON DERGISI-TURKISH JOURNAL OF PHYSICAL MEDICINE AND REHABILITATION, cilt.61, sa.3, ss.280-283, 2015 (SCI-Expanded, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 61 Sayı: 3
- Basım Tarihi: 2015
- Doi Numarası: 10.5152/tftrd.2015.98957
- Dergi Adı: TURKIYE FIZIKSEL TIP VE REHABILITASYON DERGISI-TURKISH JOURNAL OF PHYSICAL MEDICINE AND REHABILITATION
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.280-283
- Anahtar Kelimeler: Juvenile idiopathic arthritis, familial Mediterranean fever, anti-tumor necrosis factor
- Ankara Üniversitesi Adresli: Evet
Özet
Familial Mediterranean fever (FMF) and juvenile idiopathic arthritis (JIA) are childhood-associated diseases that are rarely found to coexist. Treatment includes non-steroidal anti-inflammatory drugs (NSAIDs), intra-articular steroid injections, immunosuppressants, increased range of motion and strength, and prevention and correction of deformities that require a multidisciplinary approach. Here, we describe the clinical presentation, radiological findings, and management strategies of a 19-year-old male with a diagnosis of JIA and FMF presenting with musculoskeletal deformities. Coexistence of JIA and FMF has a progressive nature and can result in severe joint erosions, development of joint contractures, muscle atrophy, and osteoporosis, despite medical treatment. A multidisciplinary approach including an early and intensive rehabilitation program with regular follow-up can be considered as an important adjunct to medical treatment. This in turn may reduce disability and improve quality of life.