Juvenile idiopathic arthritis: Difference between revisions
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Admit | Admit | ||
==See Also== | |||
[[Hip Pain (Peds)]] | |||
== Source == | == Source == | ||
*Tintinalli | *Tintinalli | ||
[[Category:Rheum]] | [[Category:Rheum]] | ||
[[Category:Peds]] | [[Category:Peds]] | ||
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
See Also
Source
- Tintinalli