Abstract

Juvenile idiopathic arthritis (JIA) is the most common chronic rheumatic disease in childhood. Since there is no pathognomonic diagnostic criterion, the diagnosis is made by excluding other arthritis in childhood. Multiple Enchondromatosis, also known as Ollier’s disease, is an ossification disorder often seen in the metaphyseal and diaphyseal regions of long bones or the metaphyseal regions of tubular bones in the hands and feet. Pain, shortening, deformity, fracture, and transformation into malignancy may appear. Here we report a case with extended oligoarticular juvenile idiopathic arthritis (oligo JIA) who developed enchondromatosis during clinical follow-up. While the patient was in remission without medication, he presented with swelling in the hand fingers and enchondromatosis lesions with expansile lytic characteristics were seen on the radiograph. Comorbid diseases can be added in the clinical follow-up of JIA patients. Physical examination is important in terms of added comorbid disease. Our case report is important because it is the first case in which these two diseases are seen together in the literature.

Keywords: Deformity, enchondromatosis, Juvenile Idiopathic Arthritis

Copyright and license

How to cite

1.
Yekedüz Bülbül A, Kayhan E, Karaman ZF, Paç Kısaarslan A, Poyrazoğlu MH. Extended oligoarticular juvenile idiopathic arthritis with multiple enchondromatosis: A case report. Trends in Pediatrics. 2023;4(2):143-145. https://doi.org/10.59213/TP.2023.40412

References

  1. Ravelli A, Martini A. Juvenile idiopathic arthritis. Lancet. 2007;369:767-78. https://doi.org/10.1016/s0140-6736(07)60363-8
  2. Fink CW. Proposal for the development of classification criteria for idiopathic arthritides of childhood. J Rheumatol. 1995;22:1566-9.
  3. Ringold S, Horneff G. Oligoarticular Juvenile Idiopathic Arthritis. In: Petty RE, Laxer RM, Lindsley CB, Wedderburn LR, Mellins ED, Fuhlbrigge RC, editors. Textbook of Pediatric Rheumatology (8th ed). Philadelphia: Elsevier; 2021: 241-9.
  4. Erol B, Tetik C, Şirin E, Kocaoğlu B, Bezer M. Surgical treatment of hand deformities in multiple enchondromatosis: a case report. Acta Orthop Traumatol Turc. 2006;40:89-93.
  5. Pannier S, Legeai-Mallet L. Hereditary multiple exostoses and enchondromatosis. Best Pract Res Clin Rheumatol. 2008;22:45-54. https://doi.org/10.1016/j.berh.2007.12.004
  6. Kasapçopur Ö, Barut K. Treatment in juvenile rheumatoid arthritis and new treatment options. Turk Pediatri Ars. 2015;50:1-10. https://doi.org/10.5152/tpa.2015.2229
  7. Scarborough MT, Moreau G. Benign cartilage tumors. Orthop Clin North Am. 1996;27:583-9.
  8. Resnick D, Kyriakos M, Greenway GD. Tumors and tumor-like lesions of bone: imaging and pathology of specific lesions. Diagnosis of Bone and Joint Disorders (3rd ed). Philadelphia: WB Saunders; 1995: 3629-47.
  9. Yener GO, Tekin ZE, Girişgen İ, Çetin EN, Akdağ B, Yüksel S. Juvenile idiopathic arthritis in a center in the Western Anatolia region in Turkey. Turk Pediatri Ars. 2020;55:157-65. https://doi.org/10.14744/turkpediatriars.2019.69320
  10. Paç Kısaarslan A, Görkem B, Livciğerci F, Gündüz Z, Poyrazoğlu HM, Düşünsel R. Pachydermodactyly - a disease confused with polyarticular juvenile idiopathic arthritis. Ann Paediatr Rheumatol. 2014;3:138-40.
  11. Yıldız HY. Benign cartilage tumors: enchondroma and osteochondroma. TOTBİD Dergisi. 2013;12:517-25. https://doi.org/10.14292/totbid.dergisi.2013.60