Juvenile Idiopathic Arthritis

Question 1

JIA is what type of disease

Answer 1

Autoimmune

Question 2

Age of Onset of JIA

Answer 2

<16 years

Question 3

Duration of Onset of JIA

Answer 3

> 6 Weeks

Question 4

JIA Features

Answer 4

Joint Swell or 2 of following

• Painful or Limited Joint Motion
• Tender
• Warmth

Question 5

The most common type of JIA

Answer 5

Pauciarticular JIA

Question 6

Pauchiarticular JIA affects how many joints

Answer 6

4 or less

Question 7

When does Pauchiarticular JIA peak

Answer 7

2-4 years old

Question 8

Girls to Boys Pauchiarticular Type 1 JIA Ratio

Answer 8

8:1

Question 9

Pauchiarticular Type 1 JIA presentation

Answer 9

limp not pain
LL joints
Knee most common
\+ANA
irregular iris due to posterior synchiae

Question 10

Pauchiarticular Type 2 JIA Features

Answer 10

15%
Age 8+
More common Girls
Limp
Lower Limb: Knee, Ankle

Question 11

Pauchiarticular Type 2 JIA Those with HLA B27 and Back involvement will be categorised as

Answer 11

Juvenile Ankylosing Spondylitis

Question 12

Pauchiarticular Type 3 JIA presentation

Answer 12

Assymetric LL and UL arthritis

Dactylitis

Question 13

What is Polyarticular JIA

Answer 13

5 or More Joints

Second most common type of JIA

Question 14

Presentation of Polyarticular JIA RF -VE

Answer 14

Low Grade Fever
Malaise
Hepatomegaly
Mild Anaemia
Growth Abnormality

Question 15

Who does Polyarticular JIA RF +Ve affect?

Answer 15

Teens

Girls

Question 16

Presentation of Polyarticular JIA RF +Ve

Answer 16

Low Grade Fever
Malaise
Weight Loss
Anaemia
Nodules
Erosions in X-ray

Question 17

Systemic Onset JIA is called

Answer 17

Still’s Disease

Question 18

Systemic Onset JIA Symptoms appear/disappear within

Answer 18

2-5 Years

Question 19

Systemic Onset JIA fever rises to

Answer 19

39.5 for 2 weeks

returns to normal in morning

Question 20

Systemic Onset JIA rash

Answer 20

90%
evanescent salmon red eruption
on trunk and thighs
accompanies fever

Question 21

what is koebener phenomenon related to

Answer 21

scratching in Systemic Onset JIA

Question 22

Polyserositis related to which JIA

Answer 22

Systemic Onset JIA

Question 23

Arthritis onsets within how long of Systemic Onset JIA

Answer 23

3-12 months after onset of fever

Question 24

which part of spine can arthritis onset in Systemic onset JIA

Answer 24

cervical spine

Question 25

where can arthritis affect in systemic onset JIA

Answer 25

Cervical Spine
Wrist
Ankles
TMJ
Knees
Hips

Question 26

Uveitis is present particularly with what JIA conditions

Answer 26

Oligo-articular

Extended Oligo

Question 27

Uveitis significantly related to what ANA patients

Answer 27

Ana Positive

Question 28

Most common non infective cause of uveitis

Answer 28

JIA

Question 29

Complications of Uveitis in JIA

Answer 29

Posterior Synchiae
Cataract
Band Keratopathy

Question 30

Uveitis in JIA treatment

Answer 30

Steroids
Mydriatic and Cycloplegic Agents
Methotrexate
MMF
Cicilosporin
Anti TNF

Question 31

2nd Line therapy for JIA

Answer 31

Methotrexate

Question 32

In Methotrexate failure in JIA

Answer 32

Anti TNF

Question 33

For refractory systemic arthritis

treatment in JIA

Answer 33

IL R Antagonist (Anakinra)

Question 34

For refractory systemic disease treatment in JIA

Answer 34

IL 6 Antagonist (Toclizumab)

Question 35

1st Line treatment for JIA

Answer 35

NSAIDS

Pain Killers