Juvenile idiopathic arthritis: Difference between revisions
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*Children <16yr | *Children <16yr | ||
==DDX== | |||
[[Hip Pain (Peds)]] | |||
== Diagnosis == | == Diagnosis == | ||
=== Clinical Presentation === | === Clinical Presentation === | ||
*High fever (at least 102.2) for minimum of 2wk | *High fever (at least 102.2) for minimum of 2wk | ||
*Faint erythematous macular coalescing rash | *Faint erythematous macular coalescing rash | ||
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=== Work-Up === | === Work-Up === | ||
*Labs | *Labs | ||
**CBC (Anemia, leukocytosis, thrombocytosis) | **CBC (Anemia, leukocytosis, thrombocytosis) | ||
Revision as of 06:36, 25 February 2012
Background
- Children <16yr
DDX
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