Case 14

Joel David, Anne Miller, Anushka Soni and Lyn Williamson

in Oxford Case Histories in Rheumatology

Published on behalf of Oxford University Press

Published in print October 2011 | ISBN: 9780199587506
Published online November 2012 | e-ISBN: 9780191753442 | DOI:

Series: Oxford Case Histories

Case 14

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A 30-year-old female sustained a right tibial fracture whilst walking. She had a history of JIA diagnosed at the age of 4 years which had been difficult to control. She had required prolonged courses of oral corticosteroids and was subsequently treated with methotrexate, alendronate, and calcium and vitamin D supplementation. She was thin, with a BMI of 17 kg/m2, and had active synovitis of her wrists. Her menstruation was erratic but she did not have amenorrhea. Her fracture failed to unite, and she required multiple surgical procedures including a bone graft following an infected non-union.

Chapter.  1200 words. 

Subjects: Rheumatology

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