Department of Pediatric Rheumatology, King Saud Medical City, Riyadh, Saudi Arabia.
Mod Rheumatol Case Rep. 2021 Jan;5(1):40-42. doi: 10.1080/24725625.2020.1794532. Epub 2020 Jul 22.
Acute acalculous cholecystitis is a gallbladder wall inflammation without gallstones. It was not reported before as a manifestation of systemic juvenile idiopathic arthritis. Here, we describe a 13-month-old boy presented with prolonged intermittent fever, skin rash, arthritis, serositis, and hepatomegaly. After workup, he was diagnosed with systemic juvenile idiopathic arthritis and acute acalculous cholecystitis based on an ultrasound abdomen showing thick gallbladder wall with free fluid. After treatment with three days of intravenous pulse methylprednisolone, he improved dramatically, and repeated ultrasounds showed normal gallbladder. This suggests that Acute acalculous cholecystitis can be a part of systemic juvenile idiopathic arthritis and hypothesised that surgical intervention can be avoided with the use of corticosteroids.
急性非结石性胆囊炎是一种胆囊壁炎症而无胆结石。它以前并未被报道为全身型幼年特发性关节炎的一种表现。在这里，我们描述了一例 13 个月大的男孩，他表现为长时间间歇性发热、皮疹、关节炎、浆膜炎和肝肿大。经过检查，他被诊断为全身型幼年特发性关节炎和急性非结石性胆囊炎，腹部超声显示胆囊壁增厚伴游离液。静脉注射脉冲甲基强的松龙治疗 3 天后，他的病情显著改善，重复超声检查显示胆囊正常。这表明急性非结石性胆囊炎可能是全身型幼年特发性关节炎的一部分，并假设使用皮质类固醇可以避免手术干预。
