Arthritis, Juvenile Idiopathic

Donna-Marie McMahon, DO, FAAP and Kathleen M. Vazzana, DO, MS Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Juvenile idiopathic arthritis (JIA) is the most common chronic pediatric rheumatologic disease.

  • JIA is associated with significant disability.

    • Age of onset: <16 years

    • Common sympto...

DIAGNOSIS

Clinical criteria: age of onset <16 years and >6 weeks duration of objective arthritis (swelling or restricted range of motion of a joint accompanied by heat, pain, or tenderness with ...

TREATMENT

GENERAL MEASURES

  • Goal is to control active disease, extraarticular manifestations, and achieve clinical remission.

  • All patients require regular (every 3 to 4 months for oligo-JIA and in ANA-po...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Patient Monitoring

Determined by medication and disease activity 
  • NSAIDs: periodic CBC, urinalysis, LFTs, renal function tests

  • Aspirin and/or other salicylates: tran...

REFERENCES

1 Giancane G, Alongi A, Ravelli A. Update on the pathogenesis and treatment of juvenile idiopathic arthritis. Curr Opin Rheumatol.  2017;29(5):523–529.  [View Abstract]
2 Prince FH, ...

ADDITIONAL READING

Chang HJ, Burke AE, Glass RM. JAMA patient page. Juvenile idiopathic arthritis. JAMA.  2010;303(13):1328.  [View Abstract] 

CODES

ICD10

  • M08.90 Juvenile arthritis, unspecified, unspecified site

  • M08.80 Other juvenile arthritis, unspecified site

  • M08.00 Unsp juvenile rheumatoid arthritis of unspecified site

  • M08.40 Pauciarticular j...

CLINICAL PEARLS

  • JIA is the most common form of arthritis in children.

  • Include JIA in the differential diagnosis for a limping child.

  • High-titer RF correlates with disease severity; prognosis worse if po...

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