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All Journal Journal of Tropical Life Science : International Journal of Theoretical, Experimental, and Applied Life Sciences Jurnal Ekonomi Jurnal Tata Rias ProNers Empathy : Jurnal Fakultas Psikologi Jurnal Media Gizi Indonesia (MGI) Paediatrica Indonesiana Jurnal Riset Akuntansi dan Keuangan SAR (Soedirman Accounting Review): Journal of Accounting and Business Management and Economics Journal (MEC-J) NUR EL-ISLAM : Jurnal Pendidikan dan Sosial Keagamaan International Journal of Community Service Learning Jurnal Penelitian dan Pengabdian Kepada Masyarakat UNSIQ International Journal of Public Budgeting, Accounting and Finance MABIS: Manajemen dan Bisnis JURNAL TEKNOLOGI INFORMASI Jurnal Pendidikan dan Kebudayaan Jurnal Riset Akuntansi dan Manajemen Malahayati (JRAMM) Indonesian State Law Review (ISLRev) Jurnal Pengabdian Masyarakat dalam Kesehatan Narra J Proceeding Biology Education Conference Arus Jurnal Sosial dan Humaniora Pediatric Sciences Journal Jurnal Teknologi Lingkungan Lahan Basah Jurnal Akuntansi, Manajemen dan Perbankan Syariah International Journal of Trends in Mathematics Education Research (IJTMER) Jurnal Andragogi Pedagogi dan Pemberdayaan Masyarakat JAPB JEPEmas: Jurnal Pengabdian Masyarakat (Bidang Ekonomi) JURNAL REKAYASA KIMIA & LINGKUNGAN Fatih: Journal of Contemporary Research Indonesian State Law Review (ISLRev) Didacticofrancia: Journal Didactique du FLE Journal of Vocational and Career Education Jurnal Tata Rias
desy wulandari
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Journal : Pediatric Sciences Journal

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A case of oligoarthritis juvenile idiopathic arthritis in a 3-year-old male child: challenges in early diagnosis and management Heksa Trisnawati; Setyagisna, Farhan Ardiyanta; Aditya, Muhammad Reva; Barlianto, Wisnu; Wulandari, Desy
Pediatric Sciences Journal Vol. 6 No. 2 (2025): In Press Online : December 2025
Publisher : Medical Faculty of Brawijaya University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/pedscij.v6i2.126

Abstract

Introduction: Juvenile Idiopathic Arthritis (JIA) is the most common chronic rheumatic disease in children, characterized by persistent joint inflammation. However, early diagnosis is often challenging due to heterogeneous clinical manifestations. Among its subtypes, oligoarthritis is the most common, involving up to four joints within six months of symptom onset. This case is distinctive due to its very early onset at the age of 3 years, prolonged diagnostic delay despite multiple healthcare visits, and diagnostic challenges related to nonspecific initial symptoms. Delayed diagnosis can result in joint deformity, growth retardation, and long-term disability, highlighting the importance of early recognition and timely management. Case Presentation: A 3-year-old male child presented with progressive joint pain, morning stiffness, and recurrent joint swelling that was initially associated with a history of trauma. Symptoms had been present since the age of 1.5 years, leading to a significant delay in definitive diagnosis. Based on clinical evaluation, imaging findings, and laboratory investigations, a diagnosis of oligoarticular Juvenile Idiopathic Arthritis was established according to the International League of Associations for Rheumatology (ILAR) criteria. The diagnostic process was further complicated by trauma-associated symptom onset and involvement of the temporomandibular joint (TMJ), which underscores the need for heightened clinical suspicion. The patient received multidisciplinary management, including pharmacological therapy, physical rehabilitation, and nutritional support. Conclusion: This case illustrates the complexity of diagnosing and managing oligoarticular JIA in pediatric patients, particularly in cases with very early onset, delayed diagnosis, and TMJ involvement. A comprehensive multidisciplinary approach, along with increased clinical awareness and early diagnosis, is essential to control inflammation, preserve joint function, and prevent long-term complications in children with JIA.
Co-Authors ., Carmidah ., Carmidah ., Nurdiana ., Suliyem Abd. Rasyid Syamsuri Abdul Kholiq Adi Wiratno Adi Wiratno, Adi Aditya, Muhammad Reva Adriana . Agustina Tri Endharti Anang Endaryanto Anggawijaya, Anthony Anik Puryatni Anik Puryatni Apriani, Isna Ari Anggarani Winadi Prasetyoning Tyas Arifin, Kiswanul Asasain, Rayi I. Astuti, Margi Astuti, Rini Juni Azwin Mengindra Putera Bahrun Bahrun Bambang Jatmiko Bambang Sugeng Cahyono, Haryudi A. Carmel Meiden Carmidah . Choirul Mahfud Dara, Cesaria Rindu Dewi Purnama Sari Dian Hasanah Edi Widjajanto Edi Widjajanto Elvira Sari Dewi Fendy Suhariadi Fitriani, Fella Yunita Fitriyani, Fella Yunita Handono Kalim Hani Susianti Hartiyah, Sri Haryudi A. Cahyono Heksa Trisnawati Hesti Fibriasari Hidajati, Fitrijah Hinawati, Titik Husna, Rifqohhul I Ketut Suada Ida Bagus Ramajaya Sutawan, Ida Bagus Ramajaya Iman Harymawan Jannati, Nur Baiti Kaukab, M. Elfan Khabib, Ainun Kurniawati Mutmainah Kusdayanti, Niken Kusworini Handono Latang, Latang Machasin Machasin man, Romandhon Mardiah Maridi Maridi Maulidi, Rizky Muhammad Anshory, Muhammad Muhammad Asri Muhammad Dani Supardan Muhammad Khaibar Putra Adithia Muhammad Khumaedi Muhammad Sukirlan Mukaromah, Laili Munawaroh, Hidayatun MUNIF, AHMAD Musfiroh, Mila Fursiana Salma Nano Prawoto Ningsih, Kartika Ayu Noor Hikmah, Noor Novia Mehra Erfiza Nur Baiti Jannati Nurdiana Nurdiana Perdana Aditya Rahman Putranto, Agus Rachmaningrum, Rafika R. Rahmah Johar Riezky Maya Probosari Romandhon, Romandhon Rudi Amir, Rudi Ryan Moulana Sabrina, Laila Salma Musfiroh, Mila Fursiana Sari, Tita L. Sari, Tita Luthfia Satriana Satriana Setyagisna, Farhan Ardiyanta Simangunsong, Jojor Vivi Sofiana, Nia Solly Aryza Sugiarti, Rini Sunyono, Nanang Agus Susanti Susanti Susanto Nugroho Susanto Nugroho Susi Hendriani Suwarni Suwarni Suyono, Nanang Agus Tita Luthfia Sari Triwati, Anis Umami, Farida Riza Utomo, Kiki Prio Wahono, Cesarius Singgih Wisnu Barlianto Wisnu Barlianto Zahrah Hikmah, Zahrah