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
