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Case 14 

Case 14
Chapter:
Case 14
Author(s):

Joel David

, Anne Miller

, Anushka Soni

, and Lyn Williamson

DOI:
10.1093/med/9780199587506.003.0014
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date: 17 August 2019

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.

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