PEDIATRICS Vol. 76 No. 4 October 1985, pp. 600-603
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Transient Thrombocytopenia in Systemic Onset Juvenile Rheumatoid Arthritis

DAVID D. SHERRY MD1 and DEBORAH W. KREDICH MD1

1 Department of Pediatrics, Duke University Medical Center, Durham, North Carolina

Three children have been presented who have had long-standing, typical systemic juvenile rheumatoid arthritis. They also had a transient illness with thrombocytopenia, antiplatelet antibodies, and the simultaneous appearance of anti-DNA antibodies and hypocomplementemia. Other single abnormalities included the development of a positive ANA, Coombs, and lupus bands test. All responded to high-dose steroid therapy. Their similar clinical and serologic findings are noteworthy and represent one of the numerous complications seen in patients with systemic juvenile rheumatoid arthritis.