Juvenile idiopathic arthritis

Background

  • Children <16yr

Clinical Features

  • High fever (at least 102.2) for minimum of 2 weeks
  • Faint erythematous macular coalescing rash on the trunk, palms, soles
  • Arthritis (usually polyarticular)
  • May also have hepatosplenomegaly, lymphadenopathy, pleuritis, pericardial effusion

Differential Diagnosis

Pediatric hip pain

Polyarthritis

Algorithm for Polyarticular arthralgia

Evaluation

Management

  • Initial therapy is ASA or NSAID
  • Corticosteroids may be used if diagnosis certain or for overwhelming systemic illness

Disposition

  • Admit

External Links

See Also

References

Authors:

Ross Donaldson