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Paediatric

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Malignancies

Question
60 out of 61
 

All the following are true about juvenile arthritis EXCEPT (LQ)



A Rheumatoid factor positive

B Increased ESR

C Hepatosplenomegaly

D Fever with rash

Ans. A

[Rheumatoid factor positive]

'Criteria for the classification of JRA

1. Age at onset < 16 years

2. Arthritis (Swelling or effusion or presence of two or more of the following signs limitation of range of motion, tenderness or pain on motion, and increased heat in one or more joints

3. Duration of disease 6 weeks or loner

4. Onset type defined by type of disease in first 6 months

a. Polyarthritis - 5 or more inflamed joints

b. Oligoarthritis (Pauciarticular) < 5 inflamed joints

c. Systemic arthritis with characteristic fever

5. Exclusion of other forms of juvenile arthritis.

6. Pauciarticular JRA is the most frequent type of JRA accounting for about 60% of patients

7. Antinuclear antibodies (ANA) are frequently positive Rheumatoid factor is negative, is seen in pauciarticular and systemic JRA Rheumatoid factor positive only in polyarticular JRA Q and portends a poor prognosis

8. ANAs are present in at least 40 to 85% of all children with pauciarticular or polyarticular JRA, but are unusual in children with systemic onset JRA

Lyme arthritis - recurrent episodes of asymmetric arthritis of large joints

1. A chronic migratory skin rash

2. Neurologic involvement (aseptic meningitis, myelitis, chorea)

3. Rheumatoid factor is negative

Malignancies Flashcard List

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