Juvenile Rheumatoid Arthritis Flashcards
People who are ANA+ and with pauciarticular JRA need a referral for what doctor?
Ophthalmology referral because those with ANA+ are at greater risk of developing eye problem such as iridocyclitis, and a slit lamp exam is required 4x/year for 4-5 years.
What medication should be avoided in those with JRA, and why?
ASA, because it increases risk of Reyes’ syndrome
What is Still’s disease also known as?
Systemic JRA
What 2 serology test are positive in pauciarticular JRA that differentiates it from systemic and polyarticular?
+ANA
+HLA-B27
Which JRA has the worst prognosis?
RF+ Polyarticular JRA
What systemic symptoms are present to diagnose systemic JRA?
Fever
Rash
Pericarditis
Hepatosplenomegaly
Most common joint involved in pauciarticular JRA
Knee
What syndrome do you diagnose children with who are RF(-), ANA(-) with arthritis, enthesitis and arthralgias?
SEA Syndrome (Seronegative enthesopathy and arthropathy)
According to ACR diagnostic criteria for JRA, how old do you have to be to be diagnosed with it?
<16 yo
Most common form of childhood arthritis
Juvenile rheumatoid arthritis
How many joints are involved in polyarticular vs pauciarticular JRA?
Polyarticular = 5 or more joints Pauciarticular = 4 or fewer joints
What are the 3 subtypes of JRA?
- Systemic
- Polyarticular
- Pauciarticular
According to ACR diagnostic criteria for JRA, how long do symptoms have to last?
> 6 weeks
Which of the 3 JRA subtypes is HL-B27 positive
Pauciarticular JRA
