Remission of juvenile rheumatoid arthritis after infection with parvovirusB19

A 22-year-old Caucasian woman with a 6 year history of persistently active, systemic onset juvenile rheumatoid arthritis (JRA) developed symptoms of h eadache, dry cough, nausea, vomiting, abdominal pain, diarrhea, and dehydra tion associated with a high fever, elevated liver enzymes, and lymphopenia. Subsequent investigation revealed acute infection with parvovirus B19. Fol lowing clinical improvement over 10-14 days solely with supportive care, he r underlying disease remained in remission for about 7 months.