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Scrub typhus (tsutsugamushi disease) is an acute febrile illness caused by , often found in Asia and Oceania. The presence of an eschar, characterized by a crust, is a key diagnostic finding. Many symptoms of this disease are already known, however reactive arthritis following scrub typhus is very rare.

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From the Departments of Medicine (A.M.J., K.L.A., S.E.T.) and Pathology (S.E.T.), Massachusetts General Hospital, and the Departments of Medicine (A.M.J., K.L.A., S.E.T.) and Pathology (S.E.T.), Harvard Medical School - both in Boston.

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Extraarticular manifestations of juvenile idiopathic arthritis and their impact on health-related quality of life.

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Mansoura Nephrology & Dialysis Unit (MNDU), Department of Internal Medicine, Faculty of Medicine, Mansoura University, Mansoura, Egypt.

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  • * Out of 117 JIA patients, 72.6% had at least one EAM, with persistent fatigue and skin rashes being the most common issues reported.
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A 54-year-old man with a university degree was admitted to our hospital because of a two-year history of progressive dementia. He had familial sensorineural hearing loss and had been treated for epilepsy since his 30s. On admission, he showed severe dementia and parkinsonism without fever or skin rash.

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