Lecture 25 Juvenile Idiopathic Arthritis Flashcards

1
Q

What is the clinical presentation of JIA

A
>6 weeks
Morning stiffness or swelling
Refusal to walk
Rash/fever
Fatigue
Poor appetite/weight loss
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2
Q

Psoriasis is seen in what type of JIA

A

Psoriatic arthritis

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3
Q

HLA-B27 positive male beginning after 6th birthday would indicate what type of JIA

A

Enthesitis related arthritis

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4
Q

Early onset Pauciarticular JIA is seen in how many joins

A

4 or less

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5
Q

Early onset Pauciarticular JIA is seen commonly in___

A

Girls

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6
Q

What limbs are involved in Early onset Pauciarticular JIA

A

No hip

Knees, ankle, hands, feet and wrist

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7
Q

is Early onset Pauciarticular JIA ANA positive or negative

A

Positive

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8
Q

Late onset pauciarticular JIA is seen commonly in__

A

Boys over 8 years

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9
Q

What is the joint involvement of late onset pauciarticular JIA

A

Hip

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10
Q

Is late onset pauciarticular JIA ANA positive or negative

A

Negative

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11
Q

How many joints are involved in polyarticular JIA

A

5

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12
Q

Is polyarticular JIA more common in boys or girls

A

More common in girls

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13
Q

Serpositive polyarticular JIA is more common

A

Children over 8

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14
Q

Seronegative polyarticular JIA is more common in

A

Children under 5

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15
Q

Name features of Enthesitis related JIA

A
Boy >8 years
HLA B27 positive
Uveitis
Inflammatory spinal pain
Sacroiliac joint tenderness
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16
Q

Name the features of Psoriatic JIA

A

Family history of Psoriasis
Dactylitis
Onycholysis
HLA B27

17
Q

What are the symptoms of systemic JIA

A
Arthritis
Fever
Salmon pink erythematous rash
Lymphadenopathy
Hepatomegaly/splenomegaly
18
Q

What is the common DMARD used to treat JIA

A

Methotrexate

19
Q

If the patient fails to respond to DMARDs what is the next line of treatment

A

Biologic agents

Anti-TNF