Juvenile idiopathic arthritis: Difference between revisions
Megankirch (talk | contribs) No edit summary |
(→Source) |
||
| Line 32: | Line 32: | ||
== Source == | == Source == | ||
Tintinalli | *Tintinalli | ||
[[Category:Rheum]] | [[Category:Rheum]] | ||
[[Category:Peds]] | [[Category:Peds]] | ||
Revision as of 08:17, 7 August 2011
Background
- Children <16yr
Diagnosis
Clinical Presentation
- High fever (at least 102.2) for minimum of 2wk
- Faint erythematous macular coalescing rash
- Trunk, palms, soles
- 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
- Initial therapy is ASA or NSAID
- Corticosteroids may be used if dx certain, overwhelming systemic illness
Disposition
Admit
Source
- Tintinalli