PT - JOURNAL ARTICLE AU - Tadej Avcin AU - Earl D Silverman AU - Vito Forte AU - Rayfel Schneider TI - Nasal septal perforation: a novel clinical manifestation of systemic juvenile idiopathic arthritis/adult onset Still's disease. DP - 2005 Dec 01 TA - The Journal of Rheumatology PG - 2429--2431 VI - 32 IP - 12 4099 - http://www.jrheum.org/content/32/12/2429.short 4100 - http://www.jrheum.org/content/32/12/2429.full SO - J Rheumatol2005 Dec 01; 32 AB - Nasal septal perforation has been well recognized in patients with various rheumatic diseases. To our knowledge, this condition has not been reported in children with systemic juvenile idiopathic arthritis (SJIA) or patients with adult onset Still's disease (AOSD). We describe 3 patients with persistent SJIA/AOSD who developed nasal septal perforation during the course of their disease. As illustrated by these cases, nasal septal perforation may develop as a rare complication of SJIA/AOSD and can be considered as part of the clinical spectrum of the disease. In one case the nasal septal perforation was associated with vasculitis.