Szu-Hung Chu, Shyh-Dar Shyur, Ya-Hsuan Peng, Cheng-Yu Wu, Ching-Long Chang, Chung-Lin Lai, Wen-Chiu Wu
Department of Pediatrics, Mackay Memorial Hospital, Taipei, Taiwan, ROC
Pleuropulmonary disease is occasionally seen in association with juvenile idiopathic arthritis. There have been few case reports of pulmonary hemosiderosis associated with juvenile idiopathic arthritis. We describe a case of a 3-year-old girl with iron deficiency anemia, juvenile idiopathic arthritis, and pulmonary hemosiderosis. Arthralgia of the left knee was noted 2 weeks after the diagnosis of iron deficiency anemia, and juvenile idiopathic arthritis was diagnosed 9 months later. She was treated with naproxen and prednisolone. Her joint symptoms were well controlled after the treatment. Six months later, hemoptysis developed and pulmonary hemosiderosis was diagnosed. She was again treated with naproxen and prednisolone and no more pulmonary or joint symptoms developed during more than 1-year follow-up.
J Microbiol Immunol Infect 2002;35:133-135.