Juvenile Idiopathic Disease, Told, Part II

Question 1

general characteristics RF + polyarticular JIA

Answer 1

> 8 y.o F>M

Question 2

clinical features RF+ polyarticular JIA

Answer 2

polyarthritis of any joint (small joints common) rheumatoid nodules vasculitis

Question 3

labs in RF + polyarticular JIA

Answer 3

ESR inc CBC anemia RF high titer + ANA positive HLA DR4 + XR early erosive changes

Question 4

course and prognosis RF + polyarticular JIA

Answer 4

persistent- serious joint destruction and poor function

Question 5

long term hazards of polyarticlar RF + JIA

Answer 5

C1 C2 subluxation aortic insufficiency and amyloidosis

Question 6

management RF+ polyarticular JIA

Answer 6

splinting PT and OT NSAIDs DMARDs biologic agents surgical intervention

Question 7

Tx JIA

Answer 7

NSAIDs Gold sulfasalazine antiTNF agents (Etanercept) antimalarials, MTX, azathiprine, steroids

Question 8

following finding in 10 y.0 M

also has iritis and cc SI pain

Answer 8

pauciarticular subtype II JIA (spondylosis)

Question 9

8 y.o F presents with this

Answer 9

pauciarticular subtype III psoriatic

Question 10

child presents with this rash and painful joints

Answer 10

JRA rash

looks like allergy, but not