RT Journal Article SR Electronic T1 Hepatic Involvement in Systemic Juvenile Idiopathic Arthritis and Macrophage Activation Syndrome: Clinical and Therapeutic Insights From 2 Cases JF The Journal of Rheumatology JO J Rheumatol FD The Journal of Rheumatology SP jrheum.2026-0131 DO 10.3899/jrheum.2026-0131 A1 Romano, Stefano A1 Mastrolia, Maria Vincenza A1 Bracaglia, Claudia A1 Minoia, Francesca A1 Giani, Teresa A1 Caiello, Ivan A1 Maccora, Ilaria A1 Rossano, Martina A1 Maniscalco, Valerio A1 Marrani, Edoardo A1 Pagnini, Ilaria A1 Simonini, Gabriele YR 2026 UL http://www.jrheum.org/content/early/2026/07/09/jrheum.2026-0131.abstract AB We read with interest the manuscript entitled "Hepatic Manifestations in Systemic Juvenile Idiopathic Arthritis and Macrophage Activation Syndrome" by Eloseily et al,1 describing 4 patients with systemic juvenile idiopathic arthritis (sJIA) complicated by macrophage activation syndrome (MAS) and hepatic involvement and treated with emapalumab. We report our experience with this subgroup of patients, describing 2 cases treated at Meyer Children's Hospital in which patients experienced multiple hepatic relapses requiring a combined treatment approach.