Juvenile IA

uA mother brings her 2-year-old daughter to clinic presenting with bilateral ankle pain for more than 6 weeks, no other joint pain. Denies any trauma or infections. Upon physical examination besides pain on palpation to her ankle, she also has uveitis. Her labs are positive for ANA. Which is most likely her diagnosis.

• enthesitis-related JIA

• polyarthritis JIA

• oligoarthritis JIA

• systemic JIA

• psoriatic JIA

uA mother brings her 3 year old daughter to clinic as she has been having pain to joints in both of her ankles, elbows and wrists for more than 6 months. On PE those areas are tender to palpation. Denies any skin lesions. Her labs are as follows +ANA, -RF.

• enthesis-related JIA

• polyarthritis JIA

• Oligoarthritis JIA

• Systemic JIA

• Psoriatic JIA

A 10-year-old male presents to clinic with bilateral knee, ankle and hip pain. He has inflammation to bilateral Achilles tendons. He has history of acute symptomatic anterior uveitis as well

• Enthesis-related JIA

• Polyarthritis JIA

• Oligoarthritis JIA

• Systemic JIA

• Psoriatic JIA

uA 15-year-old female accompanied by her mother shows up to clinic as she has been having pain to wrists, hands, toes and ankles for more than 6 months. You also notice some rheumatoid nodules on physical examination. Her labs are as follows: +RF, normal WBC.

• Enthesis-related JIA

• Polyarthritis JIA

• Oligoarthritis JIA

• Systemic JIA

• Psoriatic JIA

uA mother brings in her 2-year-old son to clinic as he has been having fever for the last 3 weeks, a transient rash,  and complaints of hand and feet pain. Labs are as follows: -RF, elevated ESR/CRP, and mild anemia.

• Enthesis-related JIA

• Polyarthritis- JIA

• Oligoarthritis JIA

• Systemic JIA

• Psoriatic JIA

uA mother brings in her 10-year-old daughter to clinic as she has been complaining of joint pain for several weeks. On physical exam she has uveitis and nail pitting. Her labs are +ANA, elevated sed rate/crp. Her mom reports she has psoriasis as well as her other son.

• Enthesis-related JIA

• Polyarthritis JIA

• Oligoarthritis JIA

• Systemic JIA

• Psoriatic JIA