Juvenile idiopathic arthritis (JIA) is the most common chronic pediatric rheumatologic disease
JIA can be associated with significant disability:
Age of onset: <16 years of age
Commo...
Goal is to control active disease, minimize extra-articular manifestations, and achieve clinical remission
All patients require regular (every 3 to 4 months for oligoarticular...
NSAIDs: periodic CBC, urinalysis, LFTs, renal function tests
Aspirin and/or other salicylates: tran...
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...
JIA is the most common form of arthritis in children
Consider JIA in any child presenting with a limp
High-titer RF correlates with disease severity; prognosis worse if positive RF titer...
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Figure 8.7. Chronic iridocyclitis secondary to juvenile rheumatoid arthritis. Patchy, irregular pupillary dilation with pigment along the lens capsule suggests breakage of old synechiae. The media are relatively clear, although band keratopathy is evident at the 3- and 9-o'clock positions on the peripheral cornea. The findings of a white eye and band keratopathy are characteristic of chronic iridocyclitis secondary to juvenile rheumatoid arthritis.
Figure 8.7. Chronic iridocyclitis secondary to juvenile rheumatoid arthritis. Patchy, irregular pupillary dilation with pigment along the ...
FIG. 2.10. Pericardial and pleural effusions in a child with systemic type of juvenile rheumatoid arthritis.