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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
نسخه الکترونیک
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Features of three of the major subtypes of juvenile idiopathic arthritis (JIA)

Features of three of the major subtypes of juvenile idiopathic arthritis (JIA)
  Systemic JIA Oligoarticular JIA Polyarticular JIA
Percent of JIA patients 10 to 15 50 30 to 40
Sex F = M F>M F>M
Age <17 years, but adult-onset Still's disease can occur in older patients Peak 2 to 3 years, rare >10 Peaks 2 to 5, 10 to 14 years
Joints Any number and any joint 4 or fewer large joints, but rarely hips; may extend to involve more joints Any joint, usually symmetrical, and must involve more than 5 joints
Fever, rash, lymphadenopathy, hepatosplenomegaly Yes No No
Uveitis Rare 20%; most common in patients who are ANA positive 10 to 20%; most common in patients who are ANA positive
Laboratory abnormalities
- White blood cell count Elevated with neutrophil predominance Normal Normal
- Hemoglobin Commonly low Normal Normal
- ESR Very elevated, unless there is MAS (paradoxically drops due to fibrinogen consumption) Usually not elevated May be mild to moderately elevated
- ANA Negative Positive low titer (1:40 to 1:80) common Positive low titer (1:40 to 1:80) common, especially in younger children
- Rheumatoid factor Negative Negative 10 to 20% in those >10 years
- Ferritin Commonly extremely elevated (often >1000 ng/mL) Normal May be mildly elevated
Response to methotrexate Poor to moderate Excellent Excellent
Response to biologic drugs

Poor to TNF inhibitors

Excellent to IL-1 and IL-6 inhibitors

Excellent to TNF inhibitors and IL-6 inhibitors 

Poor to IL-1 inhibitors

Excellent to TNF inhibitors and IL-6 inhibitors

Poor to IL-1 inhibitors
F: female; M: male; ANA: antinuclear antibody; ESR: erythrocyte sedimentation rate; MAS: macrophage activation syndrome; TNF: tumor necrosis factor; IL: interleukin.
Graphic 56224 Version 15.0

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