MCQ Orthopedics Answer 31

The Correct Answer is A


Pauci-articular juvenile rheumatoid arthritis (JRA) is more common than polyarticular JRA and systemic JRA. Pauci-articular JRA is further subdivided into two subtypes. Type I is most common in toddlers, especially girls, and can be associated with chronic anterior uveitis, which is often asymptomatic yet potentially destructive. The incidence is higher in children with positive antinuclear antibodies; therefore, regular ophthalmologic surveillance is necessary. Type II is more common in boys and has a later onset. Eye problems are less common.


The presentation of systemic JRA includes prolonged fever, rash, pericarditis or pleuritis, lymphadenopathy, hepatosplenomegaly, anemia, leukocytosis, thrombocytosis, and, of course, arthritis. Glomerulonephritis is uncommon in systemic JRA. Erythema nodosum is not a feature of JRA.


Ref:

1. Schikler KN: Is it juvenile rheumatoid arthritis or fibromyalgia? Med Clin North Am 2000; 84(4):967-982.
2. Klippel JH (ed): Primer on the Rheumatic Diseases, ed 12. Arthritis Foundation, 2001, pp 534-540.

Category: Orthopedics MCQs