Pediatric rheumatology

Hepatic Manifestations in Systemic Juvenile Idiopathic Arthritis and Macrophage Activation Syndrome

J RheumatolPublished Retrospective case series

Authors' conclusion

This study underscores the critical roles of CD8+ T cells, macrophages, and IFN-γ in sJIA-MAS hepatitis.

Study context

Population
Patients with sJIA-MAS presenting with liver dysfunction who underwent core liver biopsies, Cincinnati Children's Hospital Medical Center (2019–2024)age range 4–15 years
Participants
4 patients
Outcome
Liver pathology in sJIA-MAS
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Elevated transaminases

4

Meeting macrophage activation syndrome (MAS) criteria

1

Subclinical MAS

3

Features of venoocclusive disease (novel finding)

1

Observational data: associations, not effects.

Original publication

Hepatic Manifestations in Systemic Juvenile Idiopathic Arthritis and Macrophage Activation Syndrome. J Rheumatol. Published 15 December 2025. doi:10.3899/jrheum.2025-0699

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