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Volume 37, Number 3, June 2004

A patient diagnosed with pauciarticular juvenile rheumatoid arthritis after a mechanical prosthetic valve replacement due to aortic regurgitation

Yu-Shu Chen, Yao-Hsu Yang, Yu-Tsai Lin, Bor-Luen Chiang
Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan, ROC

Received: July 28, 2003    Revised: August 6, 2003    Accepted: August 28, 2003   


Corresponding author:

Dr Bor-Luen Chiang, MD, PhD, Department of Pediatrics, National Taiwan University Hospital, No. 7, Chung-Shan South Road, Taipei, Taiwan 100, ROC. E-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it




Valvular heart disease is a rare complication of juvenile rheumatoid arthritis (JRA), with most cases associated with polyarticular JRA. The aortic valve is most commonly affected, and valvular involvement occurs months or years after the onset of JRA. Reported cases of valvular heart disease in patients with JRA in a pauciarticular pattern are rare. We report a case of severe aortic insufficiency in a 12-year-old boy who underwent aortic valve replacement before diagnosis of JRA with a pauciarticular pattern.


Key words:

Aortic valve insufficiency, aortic valve replacement, heart valve disease, heart valve prosthesis translantation, juvenile rheumatoid arthritis



J Microbiol Immunol Infect 2004;37:200-202.