Disseminated intravascular coagulation complicating systemic juvenile chronic arthritis (” Still's disease”)

A De Vere-Tyndall, D Macauley, BM Ansell - Clinical rheumatology, 1983 - Springer
A De Vere-Tyndall, D Macauley, BM Ansell
Clinical rheumatology, 1983Springer
Two children suffering from systemic juvenile chronic arthritis (JCA) 11 complicated by acute
disseminated intravascular coagulation (DIG) are described. One had a fatal outcome with
acute renal failure and cerebral haemorrhage; the other recovered. Early recognition and
treatment of the underlying cause—usually an infection—as well as replacement of clotting
factors are important in management.
Summary
Two children suffering from systemic juvenile chronic arthritis (JCA)11 complicated by acute disseminated intravascular coagulation (DIG) are described. One had a fatal outcome with acute renal failure and cerebral haemorrhage; the other recovered. Early recognition and treatment of the underlying cause — usually an infection — as well as replacement of clotting factors are important in management.
Springer