12 Global Issues in Pediatric Rheumatology

Question 1

JIA subset reported as the MC in SEA

Answer 1

ERA

Question 2

Developing vs developed countries: JIA more linked to environment and may be autoinflammatory in nature

Answer 2

Developing

Question 3

MC extraarticular manifestation of JIA

Answer 3

Uveitis

Question 4

sJIA is often misdiagnosed as what other rheumatologic disease

Answer 4

Rheumatic fever

Question 5

What is JAMLess

Answer 5

Mgt recommendations for less-resourced countries

Question 6

T/F Asians and Africans have a higher prevalence of lupus nephritis than Caucasians

Answer 6

T

Question 7

Conditions that complicate diagnosis of JIA in less-resourced countries

Answer 7

1) Tb
2) Sickle cell anemia
3) HIV

Question 8

The way forward to improve outcomes for children with rheuma disease in developing world

Answer 8

Have all stakeholders invest in it:
1) Long-term plan to increase # of pedia rheuma
2) Improve access to health care by the govt
3) Increase public awareness of the diseases for early and appropriate treatment

Question 9

T/F In some cases, it is possible to coopt a traditional healer into the multidisciplinary team for religious and social support

Answer 9

T

Question 10

The JAMLess guidelines recommend the inclusion of ___ in the ddx of sJIA

Answer 10

Infections like malaria and typhoid

Question 11

The JAMLess guidelines suggest considering JIA in patients being treated presumptively for (3)

Answer 11

Tb
RF
HIV

Question 12

Organizations that have made it an ethical requirement for pharmas conducting research in less-resourced countries to provide posttrial access to the investigational drug

Answer 12

PRINTO and PRCSG