Juvenile idiopathic arthritis: Difference between revisions

(Created page with "==Background== *Children <16yr ==Diagnosis== ===Clinical Presentation=== *High fever (at least 102.2) for minimum of 2wk *Faint erythematous macular coalescing rash **Trunk, pal...")
 
 
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*Children <16yr
*Children <16yr


==Diagnosis==
==Clinical Features==
===Clinical Presentation===
*High [[fever]] (at least 102.2) for minimum of 2 weeks
*High fever (at least 102.2) for minimum of 2wk
*Faint erythematous macular coalescing [[rash]] on the trunk, palms, soles  
*Faint erythematous macular coalescing rash
*Arthritis (usually polyarticular)
**Trunk, palms, soles
*May also have [[hepatomegaly|hepatosplenomegaly]], [[lymphadenopathy]], pleuritis, [[pericardial effusion]]
*Arthritis
**Usually polyarticular
*May also have hepatosplenomegaly, lymphadenopathy, pleuritis, pericardial effusion
===Work-Up===
*Labs
**CBC (Anemia, leukocytosis, thrombocytosis)
**ESR, CRP
*Arthrocentesis may be needed to exclude septic arthritis


==Treatment==
==Differential Diagnosis==
*Initial therapy is ASA or NSAID
{{Pediatric hip DDX}}
*Corticosteroids may be used if dx certain, overwhelming systemic illness
 
{{Differential Diagnosis Polyarthritis}}
 
==Evaluation==
*Labs
**CBC (Anemia, leukocytosis, thrombocytosis)
**ESR, CRP
*[[Arthrocentesis]] may be needed to exclude [[septic arthritis]]
 
==Management==
*Initial therapy is [[ASA]] or [[NSAID]]
*[[Corticosteroids]] may be used if diagnosis certain or for overwhelming systemic illness


==Disposition==
==Disposition==
Admit
*Admit  
 
==External Links==
 
 
==See Also==
*[[Hip Pain (Peds)]]


==Source==
==References==
Tintinalli
<references/>


[[Category:WikEM]]
[[Category:Rheumatology]]
[[Category:Pediatrics]]

Latest revision as of 00:20, 15 September 2019

Background

  • Children <16yr

Clinical Features

Differential Diagnosis

Pediatric hip pain

Polyarthritis

Algorithm for Polyarticular arthralgia

Evaluation

Management

  • Initial therapy is ASA or NSAID
  • Corticosteroids may be used if diagnosis certain or for overwhelming systemic illness

Disposition

  • Admit

External Links

See Also

References