Saturday, 26 November 2011

Juvenile idiopathic arthritis

- persistent oligoarthritis is the most common form of JIA (50-60%), four or fewer joints are affected (knees, ankles and wrist). Uveitis is common with positive ANA and seen in younger girls (peak at 3 years old)
- polyarticular JIA affects older girls. 2 forms - rheumatoid factor positive or negative
- Still's disease presents with high fever, evanescent pink maculopapular rash with arthralgia, arthritis, myalgia and generalised lymphadenopathy. Autoantibodies are negative
- enthesitis related arthritis usually affects teenage boys, causing asymmetrical lower limb arthritis associated with HLA-B27 and risk of iritis

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1 comment:

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