PMC6332973_01
Magnetic resonance (T2-weighted) imaging of the right ankle in the patient at the age of 11 years. A small amount of fluid collection in the joint space (*) was observed; however, there was no evidence of synovitis or destructive changes in the bone.
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fig1
Magnetic resonance imaging revealed a small amount of fluid collection in the joint space with no evidence of synovitis (Figure 1).
Clinical course of the patient. The patient's fever and joint swelling resolved with prednisolone, methotrexate, and ibuprofen therapy. Twelve months after cessation of methotrexate, she presented with panuveitis. She was then diagnosed with SBS. Infliximab was effective for her ocular lesion, and the dosage of prednisolone was successfully reduced. The arrows denote bolus methylprednisolone therapy. mPSL: methylprednisolone, PSL: prednisolone, MTX: methotrexate.
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fig2
A schematic representation of her disease course is shown in Figure 2.