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Many patients identified as having FS are aged 50-70 years and now have had RA for longer than 10 years. It is hardly ever present in patients with juvenile idiopathic arthritis (JIA), with only five situations having already been reported around the world. CASE PRESENTATION The present research defines the truth of a 14-year-old female with a seven-year history of polyarticular JIA, presenting with splenomegaly, hepatomegaly, cholestasis and thrombocytopenia. However, she occasion