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Scholars Journal of Medical Case Reports | Volume-2 | Issue-03
Unusual Presentation of Arthritis in an Immunodefecient Child
Dr. Sandhya V Haribhakta, Dr. Sanjay Natu, Dr. Sujit S Nilegaonkar, Dr. MK Behera, Dr. SA Pratinidhi
Published: March 27, 2014 |
106
79
DOI: 10.36347/sjmcr.2014.v02i03.002
Pages: 125-127
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Abstract
Arthritis may be the first clinical manifestation of primary hypogammaglobulinaemia. We report a case of
primary hypogammaglobulinemia who presented with migratory polyarthritis and sore throat. The diagnosis of primary
hypogammaglobulinemia (Brutons disease) was delayed as it was previously thought it was migratory polyarthritis, due
to Rhematic fever, Which is very common in Asian countries. These patients are likely to develop recurrent infections
complicated by arthritis. This delay resulted in considerable joint destruction. The measurement of serum
immunoglobulin concentrations readily differentiates immunodeficiency from conditions such as Stili's disease and
dictates subsequent management. The importance of presenting this case was that one should be in look out for
something more in cases where child is not responding well to antibiotics and getting various bacterial infections on and
off