title: Systemic onset juvenile chronic arthritis (JCA) in a Nigerian boy--a case report.
abstract: BACKGROUND
  Juvenile chronic arthritis (JCA) is a chronic arthritis affecting children below age of 16 years. The systemic onset subgroup is also known as Still's disease. There are several distinct subgroups. There is paucity of literature of this disease entity in our environment due to under diagnosis of the disease.
  
  
  METHODS
  The case note of this patient was retrieved. He was managed for 2 years in the adult rheumatology clinic after being transferred from the Paediatric unit. Relevant literature was reviewed.
  
  
  RESULTS
  There was a good response to immunosuppressive agents and low dose prednisolone. He was back at School and able to play with his mates after long withdrawal from School.
  
  
  CONCLUSIONS
  Prompt referral of such cases to specialist centers will go a long way in determining the outcome of such patients. Prognosis is better with early presentation and appropriate management.
authors.affiliation: Rheumatology Unit, Olabisi Onabanjo University Teaching Hospital Sagamu, Ogun State. Oguntonasa@yahoo.com
authors.forename: A S
authors.initials: AS
authors.lastname: Oguntona
authors.forename: O
authors.initials: O
authors.lastname: Adelowo
mesh_terms: D000293:Adolescent; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001171:Arthritis, Juvenile / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D008297:Male; D008727:Methotrexate / Q000627:therapeutic use; D008775:Methylprednisolone / Q000627:therapeutic use; D009549:Nigeria; D011239:Prednisolone / Q000627:therapeutic use
chemical_list: D000893:Anti-Inflammatory Agents; D011239:Prednisolone; D008775:Methylprednisolone; D008727:Methotrexate