Juvenile Rheumatoid Arthritis (Subscribe)  

Objectives
1. Describe a classification of juvenile arthritis
2. Discuss the prognosis and its relation to age of onset and type of arthritis
3. Describe the pathophysiology of joints affected with juvenile arthritis
4. Discuss current treatment of juvenile arthritis

Juvenile inflammatory arthritis
Definition
JRA
- Heterogenous inflammatory Joint disease
- °infective aetiology
-> 3/12 duration & <16yo

* 15% seropositive
o F> M
o onset> 10 yrs
* 85% seronegative (Still disease)
* sites: KNEES, ANKLES, hands, wrists, feet
findings:
* decreased bone density
* early epiphyseal closure --> short bones
* ankylosis...

Conclusion Data extraction from the EMR is feasible and useful to evaluate JIA patients for indicators of treatment responsiveness. In this pilot study, we found correlates for physician global assessment of arthritis differed, according to disease subtype. Further data extraction and analyses will determine if these findings can be confirmed, and...

Retrocalcaneal bursitis has been described in various adult rheumatic diseases and septic bursitis unrelated to previous bursal disease has been reported in children. The case is reported here of a girl with juvenile chronic arthritis who developed non-septic retrocalcaneal bursitis; the diagnosis was suggested by a combination of clinical and...

seronegative juvenile rheumatoid arthritis
* 85% of kids with RA
* uncommon: adult-onset Still dz
findings:
* fever
* rash
* adenopathy
* splenomegaly