Enthesitis Related Arthritis (ERA) in an Adolescent Female: Navigating the Diagnostic Dilemma of Juvenile Spondyloarthropathies
Abstract: Enthesitis-Related Arthritis (ERA) is a subtype of juvenile idiopathic arthritis (JIA) characterized by inflammation at the entheses. This case report discusses a 17-year-old female who presented with a two-week history of fever and bilateral hip pain. Despite initial suspicion of septic or tuberculous arthritis, positive HLA-B27 markers and MRI findings led to a diagnosis of ERA. The patient showed significant improvement following a regimen of Naproxen and Methotrexate. This case highlights the challenges of diagnosing adolescent spondyloarthritis in settings where infectious mimics are prevalent.
Keywords: Enthesitis-related arthritis, Juvenile idiopathic arthritis, Juvenile spondyloarthritis, HLA-B27 positivity, Adolescent inflammatory arthritis, Magnetic resonance imaging
How to Cite?: Dr. Gubbala Charanya Lakshmi, Dr. Puppala Suraj Sai Maadhav, "Enthesitis Related Arthritis (ERA) in an Adolescent Female: Navigating the Diagnostic Dilemma of Juvenile Spondyloarthropathies", Volume 15 Issue 2, February 2026, International Journal of Science and Research (IJSR), Pages: 577-578, https://www.ijsr.net/getabstract.php?paperid=SR26208203414, DOI: https://dx.doi.org/10.21275/SR26208203414