JIA Flashcards
What are the diagnostic features of JIA?
<16yo Symtoms for >6 weeks Joint swelling or 2 of -painful or limited joint motion -tenderness -warmth
What are the types of JIA?
Oligoarthritis Polyarthritis Psoriatic Enthesitis related Systemic
What is oligoarthritis?
4 of fewer joints affected
Usually medium sized joints e.g. knee, ankle, elbow
What is polyarticuar JIA?
5 or more joints
RF + or -
What is enthesitis related JIA similar to?
Ankylosing spondylitis
What is systemic JIA?
Still’s disease
What are the features of systemic JIA aka Still’s?
Fever Salmon pink rash Lymphadenopathy Uveitis Anorexia and weight loss Hepatosplenomegaly
What investigations are done for JIA?
ANA= often +
RF= usually -
XR of affected joints
What are the management principles of JIA?
Lifestyle
Physio
Pharm
What are the pharm management options of JIA?
NSAIDs ORal steroids Intra-articular steroids DMARDs- methotrexate= 1st Biologics if DMARDs fail
What are the complications of JIA?
Poor growth Localised growth disturbance COntractures Micrognathia- undersized jaw Uveitis
What is uveitis associated with?
ANA + and <5yos
What are the features of uveitis?
Red eyes, headaches, poor vision
What is the management of uveitis?
Topical steroids
Severe= oral steroids
Poor response- disease modifying and biologics
