General JIA Flashcards
ACR Criteria
- Age of onset <16
- Arthritis (swelling or effusion, or presence of two or more of the following signs: limitation of ROM, tenderness or pain on motion, or increased heat) in one or more joints
- Duration: 6 weeks or longer
- Onset type defined in the first 6 months
- Poly >=5 joints
- Oligo <5
- sJIA - Exclusion of other types
EULAR Criteria
- Age of onset <16
- Arthritis in one or more joints
- Duration: 3 months
- Typically defined by characteristics at onset
- Poly RF neg
- Poly F positive
- Oligo
- Systemic
- JAS
- Psoriatic
ILAR
- Age of onset <16
- Duration: 6 weeks or longer
- Onset type defined in the first 6 months
- Poly RF neg
- Poly F positive
- Oligo persistent
- Oligo extended
- Systemic
- ERA
- Psoriatic
- Undifferentiated
Chromosomal abnormalities associated with chronic arthritis
- trisomy 21
- 22q11.2 deletion (Digeorge)
- Turner
- IgA def and deletion of short arm of chromosome 18
Brown Syndrome
Tenosynovitis of the superior oblique tendon of the eye leading to pain an loss of upward gaze, sometimes with diplopia
Age of onset of sJIA/ sex ratio
1-5 years; Equal
Age of onset of oligo/sex ratio
1-3/ 3:1 female
Age of onset poly RF neg/sex ratio
Biphasic 1-3 then late childhood/adolescence
Young onset 3:1
Adolescent onset 10:1
Age of onset poly RF positive/sex ratio
9-11 years of age/4-13:1
Psoriatic onset/sex ratio
Biphasic: preschool then mid to late childhood
60 percent female
ERA onset/sex ratio
10-13 years/ male predominant
Overall sibling recurrence risk
15
RF positive poly gene
HLA DRB1*0401
Oligo JIA gene
HLA DRb1*0801, 1101, 13
Objective arthritis
Swelling Warmth Erythema Limited ROM Tenderness
CHAQ
Child Health Assessment Questionnaire
Two indices
1- Disability (dressing, grooming, eating, walking, hygiene
2- Discomfort (visual analogue scale)
JAFAS
Juvenile Arthritis Functional Assessment Scale–> Observer based
Times performance on 10 tasks
Jafar
Juvenile Arthritis Functional Assessment Report
Completed by patient or parent
23 items to assess ability to perform tasks
Juvenile Self report Index
Specific focus on physical activity in children older than 8
JAQq
JIA Quality of Life Questionnaire
4 Dimensions
Gross motor, fine motor, psychosocial function and general sx
CAHP
Childhood arthritis Health profile
Parent report, self administered
3 modules: generic health, JIA specific, patient characteristics
QolMQ
Quality of My Life Questionnaire
Distinguishes from disease difficulties and generic difficulties
Which classification criteria includes IBD?
EULAR