juvenile idiopathic arthritis

possible causes of JIA

1. immunogenic susceptibility

2. environmental trigger

peak onset of JIA

1-3 years

patho of JIA

chronic inflammation of joint synovium and surrounding tissue

recurrence of JIA

course that is variable with frequent remissions

clinical manifestations of JIA

1. joint enlargement

2. stiffness in joints, particularly on rising in the morning or during periods of inactivity

3. limited mobility in affected joints - may limp when walking

4. may experience joint contractures, muscle wasting, growth disturbances

5. warm joints, may be tender when touched

6. fever

7. erythematous rash on trunk adn extremeties

8. weighgt loss, fatigue, weakness

9. chronic and acte uveitis

10. enlargemetn of liver, spleen, lumh nodes

uveitis

inflammation of anterior chamber of the eye that can lead to perm vision loss without prompt medical attention

classifications of JIA`

1. systemic onset

2. oligoarthritic (involves 4 or less joints)

3. poluarthritic (involves 5 or more joints)

4. psoriatic

5. enthesitis

6. undifferentiated

diagnosis of jia

diagnosis of exclusion

1. elevated wbc on cbc during periods of exacerbation

2. elevated esr and crp

3. ana

4. befofre 16 years olld

diagnostic testign that can be done for jia

1. slit eye exam - assess for uveititis

2. x rays of affected joints - shows soft tissue swelling

3. x rays later in process - can show osteoporosis or other things

management of jia

1. control pain

2. preserve function

3. minimize effects of inflammation

4. promote normal growth adn development

meds

1. dmards

2. biological dmards

3. nsaids

4. corticosteroids

treatment for uveitis

corticosteroid eye drops

first line of med therapy

methotrexate

non pharmacological interventions

1. warm compresses

2. warm baths

3. splint the joints at night

4. swimming and non contact activities