pediatric arthritides Flashcards
example of post infectious arthritis
rheumatic fever after GpA strep infection
What do you want to exclude in children
- Infectious
- trauma
- ## malignancy
mechanical causes of arthritis-type presentation
- Slipped cap femoral epiphyses
- legg-perthe’s disease avascular necrosis of femoral head-
Autoimmune diseases associated with arthritis
- SLE
- Vasculitis- palpable purpura
- dermatomyositis
growing pains are common in which age group
3-10 years of age
-
growing pains are limited to which parts of the body
calf, thighs, shins
often bilateral
Is there a diagnostic test for JIA?
No, exclusion of other causes
Oligoarticular JIA can present as
knee join pain
- ANA positive
- knee flexion contracture
- quad atrophy
leg length discrepancies are common in
oligoarticular JIA
Most common extra-articular manifestation of JIA
Uveitis
high risk if ANA positive
Treatment of oligoarticular JIA
inject steroids
NSAIDs
Peak age of onset of polyarthritis in kids
1-3 years of age
Polyarticular arthritis can manifest where/
small and large joints!
- cervical spine
TMJ
Treating Polyarticular JIA
- NSAIDs +/- joint infection, if response poor, start methotrexate , then TNF
When fever in children is quotidien - 1-2 spikes may make you think of
Systemic JIA
Oligo and Poly JIA more common in girls boys?
Girls!
systemic is same in both
Systemic JIA does not respond to what treatment?
- NO NSAIDs
- give prednisone (cushinoid/short stature)
- IL-1, 6 inhibition after dependence
