Juvenile Rheumatoid Arthritis CAT Flashcards

1
Q

What is juvenile rheumatoid arthritis (JRA)?

A
  • Arthritis found in kids <16
  • Causes inflammation and stiffness to multiple joints for a period >6 weeks
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2
Q

Types of JRA

A
  • Pauciarticular JRA
  • Polyarticular JRA
  • Systemic JRA
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3
Q

Factors determining the type of JRA

A
  • # of joints involved
  • Symptoms
  • Presence of rheumatoid factor (RF)
  • Presence of antinuclear antibody (ANA)
  • Systemic involvement
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4
Q

Clinical presentation for Pauciarticular JRA

A
  • </= 4 joints
  • Asymmetric
  • Mild
  • Most common
  • Girls <8
  • ANA can be found in some pts, correlates w/ eye disease
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5
Q

Clinical presentation for Polyarticular JRA

A
  • 4+ joints
  • Usually symmetrical
  • Involves joint of hands and feet + larger joints
  • Potential for severe destruction
  • Less common
  • May have RF similar to adult RA
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6
Q

Clinical presentation for Systemic JRA

A
  • Least common
  • AKA Still’s disease
  • Onset includes high fever, chills, and a rash
  • Severe myalgia and polyarthritis follows
  • Severe extraarticular manifestations
  • Pts usually negative for RF or ANA antibodies
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7
Q

Labs/imaging for JRA

A
  • Blood tests for RF, ANA or HLA-B27
  • ESR may indicate rheumatic disease
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8
Q

Additional findings likely w/ JRA

A
  • Joint swelling
  • Stiffness
  • Pain
  • Eye inflammation and iritis/uveitis can be significant complications
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9
Q

Pharmacological management of JRA

A

NSAIDS, immunisuppressive meds, disease-modifying antirheumatic drugs, corticosteroids

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10
Q

PT management of JRA

A

ROM, exercise, pain control, strengthening, endurance, splints/orthotics

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