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Date of Award

Spring 2023

Degree Name

Master of Medical Science (Physician Assistant)

Department

Physician Assistant; College of Health Sciences

First Advisor

Gina Montefusco Beldner

Abstract

The purpose of this paper is to enhance provider awareness of juvenile idiopathic arthritis (JIA) and his/her ability to diagnose JIA promptly to ultimately decrease disease-related complications and disability. JIA is the most common rheumatologic disorder in the pediatric population. This review will focus on the signs and symptoms of each category of JIA which includes the following: oligoarticular, polyarticular (rheumatoid factor positive and negative), systemic, psoriatic, enthesitis-related, and undifferentiated arthritidies. Key laboratory tests indicated for the workup of a child with JIA and the subsequent diagnostic findings will be discussed. Imaging modalities utilized to evaluate pediatric arthritis include plain radiography, musculoskeltal ultrasound, and contrast enhanced magnetic resonance imaging. Extra-articular manifestations in JIA are common and the following associated conditions will be covered: chronic and acute anterior uveitis, temporal mandibular joint arthritis, atlantoaxial subluxation, macrophage activation syndrome, vitamin D deficiency, osteoporosis, and gait dysfunction.

Additional Files

Poster Presentation .pptx (2411 kB)
Video Presentation Links.docx (12 kB)

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Clinical Presentation and Diagnostic Evaluation of Juvenile Idiopathic Arthritis

The purpose of this paper is to enhance provider awareness of juvenile idiopathic arthritis (JIA) and his/her ability to diagnose JIA promptly to ultimately decrease disease-related complications and disability. JIA is the most common rheumatologic disorder in the pediatric population. This review will focus on the signs and symptoms of each category of JIA which includes the following: oligoarticular, polyarticular (rheumatoid factor positive and negative), systemic, psoriatic, enthesitis-related, and undifferentiated arthritidies. Key laboratory tests indicated for the workup of a child with JIA and the subsequent diagnostic findings will be discussed. Imaging modalities utilized to evaluate pediatric arthritis include plain radiography, musculoskeltal ultrasound, and contrast enhanced magnetic resonance imaging. Extra-articular manifestations in JIA are common and the following associated conditions will be covered: chronic and acute anterior uveitis, temporal mandibular joint arthritis, atlantoaxial subluxation, macrophage activation syndrome, vitamin D deficiency, osteoporosis, and gait dysfunction.