Arthritis, Juvenile Idiopathic (Rheumatoid), Pediatric

Elizabeth Candell Chalom, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

Juvenile idiopathic arthritis (JIA) is defined as chronic synovial inflammation of unknown etiology in at least one joint, for at least 6 weeks. Age of onset must be <16 years old...

DIAGNOSIS

HISTORY

  • Morning stiffness that improves after a warm shower/bath or with stretching and mild exercise is common in JIA. Many young children do not complain of pain but walk with a limp or ref...

TREATMENT

GENERAL MEASURES

  • Responses to treatments for JIA vary tremendously:

    • Some patients may respond to NSAIDs within 1 to 2 weeks. Others take 4 to 6 weeks to improve, and some may not respond at al...

ONGOING CARE

PROGNOSIS

  • Varies considerably

  • Children with oligoarticular JIA usually fare well and often go into remission within a few years of starting treatment. They may have flares, however, even up...

ADDITIONAL READING

  • Andersson Gäre B. Juvenile arthritis—who gets it, where and when? A review of current data on incidence and prevalence. Clin Exp Rheumatol.  1999;17(3):367–374. [View Abstract ...

CODES

ICD9

  • 714.30 Polyarticular juvenile rheumatoid arthritis, chronic or unspecified

  • 714.31 Polyarticular juvenile rheumatoid arthritis, acute

ICD10

  • M08.80 Other juvenile arthritis, unspecified site

  • M08.8...

FAQ

  • Q: Will the patient outgrow JIA?

  • A: Prognosis depends on the type of JIA. In some studies, up to 50% of patients with JIA still had active disease 10 years after diagnosis, but only 15% had loss of...

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