TY - CHAP M1 - Book, Section TI - Juvenile Idiopathic Athritis A1 - Akoghlanian, Shoghik A1 - Zeft, Andrew A2 - Usatine, Richard P. A2 - Sabella, Camille A2 - Smith, Mindy Ann A2 - Mayeaux, E.J. A2 - Chumley, Heidi S. A2 - Appachi, Elumalai PY - 2015 T2 - The Color Atlas of Pediatrics AB - A 2-year-old Caucasian girl has had left knee swelling for 2 months (Figure 172-1). On physical examination, she has a warm left knee with limited range of motion and an effusion. Her left leg is longer than her right, and she walks with an antalgic gait. She has no other systemic signs and symptoms. Her antinuclear antigen (ANA) test is positive (1:160, speckled pattern) and her erythrocyte sedimentation rate is normal. She is diagnosed with oligoarticular juvenile idiopathic arthritis (oligoJIA). After initially taking nonsteroidal antiinflammatory medication around the clock, she is given an intra-articular steroid injection to treat her synovitis followed by physical therapy. Six weeks later, her knee exhibits full range of motion and is free of swelling. Six months later, she is found to have anterior uveitis (Figure 172-2) on routine screening slit lamp ophthalmology exam. Her uveitis is treated with ocular steroid drops, but her eye disease remains active, and requires the disease modifying antirheumatic drug, methotrexate. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1114878111 ER -