Juvenile idiopathic arthritis

Background

• Children <16yr

DDX

Hip Pain (Peds)

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

Hip Pain (Peds)

Source

• Tintinalli