WordPress database error: [Got error 28 from storage engine]
SHOW FULL COLUMNS FROM `wonwp_options`

WordPress database error: [Got error 28 from storage engine]
SHOW FULL COLUMNS FROM `wonwp_options`

WordPress database error: [Got error 28 from storage engine]
SHOW FULL COLUMNS FROM `wonwp_options`


Warning: mysqli_query(): (HY000/1030): Got error 28 from storage engine in /home/datatra1/wheelessonline.com/1wpkore1/wp-includes/class-wpdb.php on line 2459

WordPress database error: [Got error 28 from storage engine]
SELECT wonwp_posts.ID, wonwp_posts.post_content, p2.meta_value as priority FROM wonwp_posts INNER JOIN wonwp_postmeta p1 ON (wonwp_posts.ID = p1.post_id) INNER JOIN wonwp_postmeta p2 ON (wonwp_posts.ID = p2.post_id) INNER JOIN wonwp_postmeta p3 ON (wonwp_posts.ID = p3.post_id) WHERE (( p1.meta_key = 'wbcr_inp_snippet_scope' AND p1.meta_value = 'evrywhere') AND ( p3.meta_key = 'wbcr_inp_snippet_activate' AND p3.meta_value = '1') AND p2.meta_key = 'wbcr_inp_snippet_priority' ) AND wonwp_posts.post_type = 'wbcr-snippets' AND (wonwp_posts.post_status = 'publish') ORDER BY CAST(priority AS UNSIGNED) DESC


Warning: mysqli_query(): (HY000/1030): Got error 28 from storage engine in /home/datatra1/wheelessonline.com/1wpkore1/wp-includes/class-wpdb.php on line 2459

WordPress database error: [Got error 28 from storage engine]
SELECT wonwp_posts.ID, wonwp_posts.post_content, p2.meta_value as priority FROM wonwp_posts INNER JOIN wonwp_postmeta p1 ON (wonwp_posts.ID = p1.post_id) INNER JOIN wonwp_postmeta p2 ON (wonwp_posts.ID = p2.post_id) INNER JOIN wonwp_postmeta p3 ON (wonwp_posts.ID = p3.post_id) WHERE (( p1.meta_key = 'wbcr_inp_snippet_scope' AND p1.meta_value = 'auto') AND ( p3.meta_key = 'wbcr_inp_snippet_activate' AND p3.meta_value = '1') AND p2.meta_key = 'wbcr_inp_snippet_priority' ) AND wonwp_posts.post_type = 'wbcr-snippets' AND (wonwp_posts.post_status = 'publish') ORDER BY CAST(priority AS UNSIGNED) ASC


Warning: mysqli_query(): (HY000/1030): Got error 28 from storage engine in /home/datatra1/wheelessonline.com/1wpkore1/wp-includes/class-wpdb.php on line 2459

WordPress database error: [Got error 28 from storage engine]
SELECT wonwp_posts.* FROM wonwp_posts INNER JOIN wonwp_postmeta ON ( wonwp_posts.ID = wonwp_postmeta.post_id ) INNER JOIN wonwp_postmeta AS mt1 ON ( wonwp_posts.ID = mt1.post_id ) WHERE 1=1 AND ( ( wonwp_postmeta.meta_key = 'wbcr_inp_snippet_scope' AND wonwp_postmeta.meta_value = 'shortcode' ) AND ( mt1.meta_key = 'wbcr_inp_snippet_activate' AND mt1.meta_value = '1' ) ) AND wonwp_posts.post_type = 'wbcr-snippets' AND ((wonwp_posts.post_status = 'publish')) GROUP BY wonwp_posts.ID ORDER BY wonwp_posts.post_date DESC

Systemic JRA: (Still's Disease) : Wheeless' Textbook of Orthopaedics
Warning: mysqli_query(): (HY000/1030): Got error 28 from storage engine in /home/datatra1/wheelessonline.com/1wpkore1/wp-includes/class-wpdb.php on line 2459

WordPress database error: [Got error 28 from storage engine]
SELECT wonwp_posts.* FROM wonwp_posts LEFT JOIN wonwp_term_relationships ON (wonwp_posts.ID = wonwp_term_relationships.object_id) WHERE 1=1 AND wonwp_posts.ID NOT IN (26382) AND ( wonwp_term_relationships.term_taxonomy_id IN (39) ) AND wonwp_posts.post_type = 'advanced_ads' AND ((wonwp_posts.post_status = 'publish')) GROUP BY wonwp_posts.ID ORDER BY wonwp_posts.post_date DESC

Home » Arthritis » Systemic JRA: (Still’s Disease)

Systemic JRA: (Still’s Disease)


- See: Juvenile Rheumatoid Arthritis

- Discussion:
    - characterized by high fever, rash, lymphadenopathy, and polyarthritis;
    - usually appears at 5-10 years of age;
    - least common type of JRA: < 20 % of patients.

- Clinical Presentation:
    - acute onset, often accompanied by a sore throat and leukocytosis, may suggest a bacterial infection;
    - fever:
         - temp > 40 deg is common (unlike rheumatic fever);
         - may be spiking & erratic; once or twice daily; must be > 39.3;
         - peaks usually at nite, improved by morning;
    - rash:
         - distinctive, pink rash blanches on compression;
         - macular or maculopapular w/ central clearing;
         - nonpuritic, pink or salmon colored & is common on trunk & axilla;
         - scratching may worsen rash (Kobner's phenomenon)
         - when pruritic, rash may be confused w/ hypersensitivity reaction;
         - may precede arthritis;
    - synovitis / joint pain:
         - in most pts arthritis is chronic & persistent but may be migratory at first;
         - usually more painful than Pauci or Poly JRA;
         - joint pain may be most intense as fever peaks;
    - neck stiffness is common (consider meningitis);
    - systemic manifestations:
         - pericarditis, myocarditis
         - lymphadenopathy (esp in axilla)
         - hepatosplenomegaly
         - abdominal pain.
         - growth retardation
         - vasculitis (including CNS)
         - asymptomatic iritis;

- Labs:
    - Synovial F. Exam
    - anemia & leukocytosis ( > 40,000 WBC) (thrombocytopenia & leukopenia are rarely found)
    - ESR is usually high, > 100 mm/hr.
    - ANA & RF are rarely positive.

- Prognosis: is variable
    - systemic manifestations may last for months;
    - large minority will develop severe arthritis:
    - hip disease is a major cause of late disability.

- Radiographs:
    - may see a developmental fusion of cervical vertebra that may be confused w/ fibrodysplasia ossificans



Notice: ob_end_flush(): failed to send buffer of zlib output compression (0) in /home/datatra1/wheelessonline.com/1wpkore1/wp-includes/functions.php on line 5349