SOJIA is characterized by fever which is documented to be quotidian for at least 3 days and lasts for 2 weeks. It can be seen in all age groups. Child is quite well during afebrile intervals
Important features are :
- Arthritis,
- Evanescent erythematous rashes
- Generalized lymphadenopathy
- Hepatosplenomegaly and
- Serositis
Laboratory examination shows
- Leucocytosis,
- Anemia
- Thrombocytosis
- Elevated ESR, CRP and Ferritin.
Treatment includes NSAIDs, corticosteroids, methotrexate and Tocilizumab. A life threatening complication macrophage activation syndrome(MAS) can be seen in patients with SOJIA.
Post Pic Credits AAP Publications