Case report : Early-Onset Juvenile Psoriatic Arthritis Presenting at 15 Months: A Diagnostic Challenge in Infancy - Takeaways - MDSpire

Case report : Early-Onset Juvenile Psoriatic Arthritis Presenting at 15 Months: A Diagnostic Challenge in Infancy

  • By

  • Atawneh, Mayar

  • Hasasna, Lana

  • Atyani, Moath

  • Alami, Mohammad

  • Abunejma, Fawzy M.

  • April 29, 2026

  • 0 min

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  • 1

    A 15-month-old female presented with guttate psoriatic lesions followed by knee arthritis confirmed by ultrasound.

  • 2

    The patient had a strong family history of autoimmune diseases and negative immunological testing, including ANA.

  • 3

    Positive inflammatory markers, including CRP and ESR, indicated an inflammatory process in the patient.

  • 4

    The diagnosis of juvenile psoriatic arthritis was made using the ILAR Criteria for Juvenile Psoriatic Arthritis.

  • 5

    Early imaging-confirmed synovitis facilitated timely initiation of disease-modifying therapy, resulting in clinical remission.

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