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Letter
Juvenile idiopathic arthritis associated with autoimmune hepatitis type 2
  1. V Nobili1,
  2. R Devito2,
  3. D Comparcola1,
  4. E Cortis3,
  5. M R Sartorelli1,
  6. M Marcellini1
  1. 1Department of Liver Diseases, Research Institute, Bambino Gesu’ Children’s Hospital, Rome, Italy
  2. 2Department of Pathology, Research Institute, Bambino Gesu’ Children’s Hospital, Rome, Italy
  3. 3Department of Paediatric Rheumatology, Research Institute, Bambino Gesu’ Children’s Hospital, Rome, Italy
  1. Correspondence to:
    Dr V Nobili
    Department of Liver Disease, Research Institute, Bambino Gesu’ Children’s Hospital, Piazza S Onofrio 4, 00165 Rome, Italy; v.nobililibero.it

https://doi.org/10.1136/ard.2004.021360

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    Juvenile idiopathic arthritis (JIA) is one of the most common chronic disorders in childhood and affects 1 in 1000 children.1

    Recently, the International League of Associations for Rheumatology proposed consensus criteria for the classification of childhood arthritis under the term JIA.2 JIA defines an arthritis developing in patients aged 16 years or younger that has no known cause.

    Liver disturbance, although not characteristic of JIA, is common and it has been attributed not only to the liver disease associated with rheumatoid diseases themselves but also to many other factors, such as fatty infiltration, drug toxicity, thrombotic accidents, or autoimmune liver disease.3,4

    Autoimmune hepatitis (AIH) is an unresolving inflammation of the liver of unknown cause.5 AIH type 2 (AIH 2) is …

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