Juvenile Idiopathic Disease, Told, Part I Flashcards Preview

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Flashcards in Juvenile Idiopathic Disease, Told, Part I Deck (51)
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1

synonyms for juvenile arthritis

juvenile RA
juvenile chronic arthritis
juvenile idiopathic arthritis

2

Dx juvenile arthritis

by exclusion

3

demographics juvenile arthritis

< 9 years old

4

Criteria for Dx JIA

6 weeks
poly, pauci or systemic
exclusion of other forms juvenile arhtritis

5

ddx JIA

SLE, reactive, lymes, dermatomyositis, kawasaki
rheumatic fever, IBD, hematologic, vasculitis, septic arthritis, toxic synovitis hip
neoplasia
infantile onset multi systemic
psychogenic

6

Systemic onset of HIA

1+ joints
extra articular features 6+ weeks

7

pauciarticular JIA

subtype I: classic
II: spondylitic
III: psoriatic

8

nail and skin manifestation JIA

subtype III pauciarticular

9

Polyarticular JIA

RF+ or -

10

determinant of prognosis in polyarticular JIA

RF - is better prognosis

11

spondylitic JIA

enthesitis related
II pauciarticular

12

growing pains

6-13 y.o
thighs, calves, shins
late in day or night

13

Tx growing pains

heat massage and analgesics

14

Stills disease

systemic JIA

15

What are signs and Sx stills disease

malaise, rash, fever, adenopathy, HSM, serositis, hepatits, DIC, anemia

16

MSK Sx of stills

arthritis, myalgia, arthralgias

17

age of onset

< 5 F=M (most common)
>5 F>M

18

fever curve in systemic JIA

all over the place

19

rash in juvenile rheumatoid arthritis

transient
salmon pink
circumscibed macular
2-6 mm or bigger, confluent
chest, axilla thighs and upper arms

20

does the rash in JRA itch

not usually

21

Labs for systemic JIA

ESR- high
CBC- anemia, leukocytosis and thrombocytosis
IgM RF -
ANA -

22

age of onset compared to pronosis for systemic JIA

younger age of onset -- worse prognosis

23

what can occur in child with persistent JIA

amyloidosis

24

management of systemic JIA

splinting to prevent deformity
PT and OT
NSAID
corticosteroids
DMARDs

25

MTX in child

can affect growth

26

most common JIA subtype

pauciarticular subtype I

27

clinical features subtype I pauciarticular JIA

ankle>elbow>hip)
early growth abnormalities
chronic uveitis within 5 years

28

chornic uveitis in pauciarticular disease

subtype I

29

labs for subtype I pauciarticular JIA

ESR increased or wnl
CBC wnl
RF -
ANA + 40-75%

30

HLA assoc with subtype I pauciarticular JIA

HLA A2, DR5 DRw6 DRw8