Juvenile chronic arthritis
* Introduction
* Symptoms and Diagnosis
* Differential Diagnosis
* Treatment
back Differential Diagnosis
Will differentiate the systemic form: - Other connective lupus erythematosus (SLE); - Other collagen: PAN, scleroderma; - Joint reactive immune hepatitis; - Sepsis; - Acute osteomyelitis.
Monoarticulara form (10%) is different from diseases such as: - Tuberculosis of the bones (white tumor of the knee) is synovial biopsy and joint fluid evidenteaza bK; - Trauma; - Osteochondritis; - Aseptic necrosis; - Tumors; - Bone syphilis; - Septic monoarthritis (rare); - Osteomyelitis.
Polyarticular forms will be distinguished from diseases such as: - Acute articular rheumatism (RAA); - Serum sickness; - Inflammatory bowel disease (Crohn's RCUH) - more rare in children; - Henoch-Schonlein purpura in arthritis.
Evolution and prognosis:
Juvenile arthritis is a chronic disease with exacerbations life and times of calm. A proportion of 20% is single-phase process as there are relapses.
Severity of the disease is on: the systemic type of onset severe arthritis when installing at 25% of cases and polyarticular rheumatoid factor present form as a percentage of 50% of cases progress to severe arthritis with ankylosis. Pauciarticulara form type I in 20% of cases are found in severe arthritis, depending on the evolution of this iridociclitei or uveitis; to determine the severity of eye disease is anterior segment examination with slit lamp. Pauciarticulara Form Type II is seen in chronic achilopoietica spondylitis.
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