Juvenile Idiopathic Arthritis: Difference between revisions
Emily Betz (talk | contribs) No edit summary |
Emily Betz (talk | contribs) No edit summary |
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== Differential Diagnosis == | == Differential Diagnosis == | ||
Some signs and symptoms of JIA are shared with those of the following diseases<sup>4</sup>:<br> | Some signs and symptoms of JIA are shared with those of the following diseases<sup>3,4</sup>:<br> | ||
*Lyme Disease | *Lyme Disease | ||
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*Psoriatic arthritis | *Psoriatic arthritis | ||
*Inflammatory bowel disease | *Inflammatory bowel disease | ||
*Leukemia | *Leukemia | ||
*Caffey Disease | *Caffey Disease | ||
*Chronic Eosinophilic Granuloma | *Chronic Eosinophilic Granuloma | ||
*Osteoporosis | *Osteoporosis | ||
*Involutional Osteoarthritis | *Involutional Osteoarthritis | ||
Revision as of 03:11, 17 March 2011
Original Editors - Emily Betz from Bellarmine University's Pathophysiology of Complex Patient Problems project.
Lead Editors - Your name will be added here if you are a lead editor on this page. Read more.
Definition/Description
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Juvenile Idiopathic Arthritis (JIA), formerly Juvenile Rheumatoid Arthritis (JRA) is a chronic inflammatory disorder that occurs before the age 16 and can occure in all races. The heterogeneous group of diseases that JIA refers to all share synovitis as a common symptom. The subcategories are:
- Oligoearthritis JIA
- Polyarthritis JIA (positive RF)
- Polyarthritis JIA (negative RF)
- Systemic onset JIA
- Psoriatic JIA
- Enthesitis-related arthritis
- Other arthritis
JIA is an autoimmune disorder that is classified based on the number of joints involved/affected and the presence of other signs and symptoms.1,2
Prevalence[edit | edit source]
JIA affects 30,000 to 50,000 children in the United States.2 For unknown reasons, it has been shown to be more prevalent in Norway and Australia.3 JIA occurs in children under the age of 16 and affects more than twice as many girls as their male counterparts.
- Girls with an oligoarticular onset outnumber boys by a ratio of 3:1.
- In children with uveitis, the ratio of girls to boys is 5-6.6:1.
- Among children with polyarticular onset, girls outnumber boys by 2.8:1.
- In striking contrast, systemic onset occurs with equal frequency in boys and girls.3
The mean age of onset is 1-3 years old.3
[insert figure 27-16 Patho]
Characteristics/Clinical Presentation[edit | edit source]
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Associated Co-morbidities[edit | edit source]
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Medications[edit | edit source]
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Diagnostic Tests/Lab Tests/Lab Values[edit | edit source]
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Etiology/Causes[edit | edit source]
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Systemic Involvement[edit | edit source]
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Medical Management (current best evidence)[edit | edit source]
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Physical Therapy Management (current best evidence)[edit | edit source]
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Alternative/Holistic Management (current best evidence)[edit | edit source]
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Differential Diagnosis[edit | edit source]
Some signs and symptoms of JIA are shared with those of the following diseases3,4:
- Lyme Disease
- Rheumatic fever
- Osteomyelitis
- Psoriatic arthritis
- Inflammatory bowel disease
- Leukemia
- Caffey Disease
- Chronic Eosinophilic Granuloma
- Osteoporosis
- Involutional Osteoarthritis
Case Reports/ Case Studies[edit | edit source]
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Resources
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Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
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