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Medicine

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Rheumatology

Question
19 out of 20
 

Which of the following is not true about JRA? (AIPG06)



A Fever
B Rheumatoid nodules

C Uveitis
D Raynaud's phenomenon

Ans. D Raynaud's phenomenon

Juvenile Chronic Arthritis (JRA)

a. It is non infective inflammatory joint disease of more than 3 months duration in children <16 years of age.

b. Aetiopathology is similar to RA but with less marked cartilage erosion, and joint instability and absent rheumatoid factor.

c. Clinical presentation may be

1. Still’s disease / Systemic JRA (15%)

i. Usually seen below 3years age equally in boys & girls.

ii. Fever, rash, skin nodule lymphadenopathy &hepato splenomegaly.

iii. Arthritis usually occurs some weeks or months after the onset

2. Pauciarticular JRA (60%)

i. Commonest form, below age of 6 years, more commonly in girls.

ii. One to few joint involvement (knee, ankle, elbow, wrist) without systemic illness.

iii. RF test is negative & chronic iridocyclitis occur in about 50% case.

3. Juvenile RA/Polyarticular JRA (10%)

i. Involvement of temporo mandibular joint & cervical spine, hands & wrist.

ii. Usually seen in older children mainly girls.

4. Seronegativespondylarthritis Juvenile AS (5%)

i. In older children, usually boys ii. HLA B27 positive iii.Sacroiliitis, spondylitis, hip & knee involvement

Extra Edge: Raynaud's phenomenon is not a feature of JRA.

Rheumatology Flashcard List

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