15.11.6.1 Rheumatology in childhood Flashcards

Describe the historical background of Peads rheumatology. Recap of basic connective tissue system recap of adaptive immunity and autoimmune disease recap of innate immunity and auto-inflammatory disease reflect on South African experiences. highlight common and relevant presentations and conditions in pediatric rheumatology in our local setting.

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1
Q

Rheumatic fever

A

correlation to athritis

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2
Q

What is paeds rheumatic

A
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3
Q

Embryonic development -3 germ layers focus on the mesoderm

A

mesoderm divisions

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4
Q

Cartilage
Tendons
Ligaments

A

Cartilage: tough,flexible,cushions and at the end of bones .
Tendons

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5
Q

Joints and their types

A
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6
Q

Connective tissue: muscles

A
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7
Q

innate immunity

A
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8
Q

adaptive immunity

A

Protects against almost any invader
adapts to antigen to be more specific ,memory

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9
Q

Central and peripheral tolerance

A

central: mechanism of tolerance to self-antigens in the bone marrow and thymus, which eliminates

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10
Q

Auto-immunity

A

Loss of immunological tolerance:
Immune attack on self
auto immune diseases
-

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11
Q

Risk factors for auto immunity

A

-Genetics
- Environment
-Loss of tolerance

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12
Q

Innate immune responses

A

Inflammation
Accumulation and activation of leukocytes
auto-inflammation: result of the disregulation fo the innate system

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13
Q

Auto-inflammatory conditions

A

Systematic juvinile diabetes

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14
Q

Tabulate the differences between autoinflammation and auto- immunity.

A
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15
Q

SA context: challenges facing children with JIA in SA

A

TB and HIV
Malnutrition
Poverty

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16
Q

Juvenile idiopathic arthritis

A

Most common form of chronic childhood arthritis and has 7 subcategories by ILR

17
Q

Oligo(<4)-articular

A

common
Uveitis
Persistent type: >5 joints lating for 6 months

18
Q

Systematic JIA

A

aoutoinflammatoty, the rest=auto immunity

19
Q

Oligoarticular JIA

A

chronic asymptomatic uveitis is a major problem.
ANA + in 85%
leg length discripencies

20
Q

Polyarticular

A

> 5 joints
RF positive<RF neg

21
Q

TMJ Involvement

A
22
Q

Enthesitis related arthritis

A

Usually older children, esp. boys over 6 years
stiffness when they wake up

23
Q

Psoriatic JIA

A

Athritis plus:
psoriasis: hairline,look behind the ears
nail pits
dactylitis
1st or 2nd degree relative

24
Q

Systemic JIA

A

athritis and fever:
-associated with with rash, salmon…

25
Q
A