title: [Unusual presentation of juvenile idiopathic arthritis and autoimmune hepatitis].
abstract: The coexistence of autoimmune hepatitis and juvenile idiopathic arthritis is very rare. This is the case of an 18 month old female patient whose first sign of disease was torticollis due to an underlying atlanto-axial subluxation. Three months later, bilateral knee arthritis developed and she was diagnosed with Juvenile Idiopathic Arthritis. Throughout the disease a persistent elevation of liver enzymes was noted, combined with positive antinuclear antibodies and hypergammaglobulinemia, reaching the diagnosis of concomitant autoimmune hepatitis.
authors: Unidad de Gestión Clínica (UGC) de Pediatría, Hospital Universitario Virgen Macarena, Sevilla, España. Electronic address: marmorpri@gmail.com.
authors: M
authors: M
authors: Moreno Prieto
authors: Unidad de Gestión Clínica (UGC) de Pediatría, Hospital Universitario Virgen Macarena, Sevilla, España.
authors: M J
authors: MJ
authors: Carbonero Celis
authors: Unidad de Gestión Clínica (UGC) de Pediatría, Hospital Universitario Virgen Macarena, Sevilla, España.
authors: M C
authors: MC
authors: Cuadrado Caballero
mesh_terms: D001171:Arthritis, Juvenile / Q000150:complications / Q000175:diagnosis*; D005260:Female; D019693:Hepatitis, Autoimmune / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D007223:Infant
keywords: Articulación atlantoaxoidea; Artritis juvenil; Atlanto-axial joint; Autoimmune hepatitis; Hepatitis autoinmune; Hipergammaglobulinemia; Hypergammaglobulinemia; Juvenile arthritis; Transaminasas; Transaminases