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Case Number : Case 1525 - 28 April Posted By: Guest
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Submitted Date :
10-year-old girl undergoing long-term work-up by rheumatology for an autoinflammatory disorder presents for evaluation of recurrent, tender papules and plaques involving the face, trunk, and extremities since 3 weeks of age. Cutaneous lesions have flared over the last 5 days following a decrease in her daily dose of prednisone. She has a past medical history of recurrent fever, panniculitis, elevated acute phase reactants, transient arthritis, and aseptic meningitis. There is no family history of autoimmune disease or immunodeficiency. She is on methotrexate 17.5 mg PO weekly and prednisone 17.5 mg PO daily. Her labs show intermittent elevations in ESR, CRP, and AST/ALT.
Dr Hafeez Diwan.
Dr Hafeez Diwan.
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