Chronic monoarticular arthritis and acute pericardial tamponade in a child with Crohn's disease.
We describe a 7-year-old child who developed right knee arthritis unresponsive to nonsteroidal anti-inflammatory drug therapy. Additional rheumatologic disorders including pleuropericardial effusion with tamponade supervened before the recognition of Crohn's disease involving the colon. Suppression of all sites of inflammation resulted from corticosteroid therapy. Aspects of diagnosis and treatment of these extraintestinal components of inflammatory bowel disease are discussed.
Van Gundy
E T
ET
Department of Pediatrics, Creighton University School of Medicine, Omaha, NE 68114.
Kaufman
S S
SS
Danford
D A
DA
Pilley
M D
MD
Perry
D A
DA
D000208:Acute Disease; D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D001171:Arthritis, Juvenile / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D002305:Cardiac Tamponade / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D002648:Child; D003424:Crohn Disease / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D005260:Female; D006801:Humans
D000305:Adrenal Cortex Hormones