Effectively Diagnose Juvenile Arthritis With a Full Exam and Patient History

While lab tests and imaging can sometimes help diagnose juvenile idiopathic arthritis (JIA), a physical examination and thorough patient history are the most valuable tools in identifying this disease. According to a new literature review from the Journal of the American Academy of Orthopaedic Surgeons, the rate of false positives in laboratory evaluations and imaging studies meant to screen for JIA makes their value limited.

Depending on the type of JIA, symptoms can vary quite a bit. In fact, some young patients may not suffer any of these symptoms, but have a swollen joint that is discovered after another incident such as an injury.

“To establish a diagnosis of juvenile idiopathic arthritis is a matter of pattern recognition,” Marilynn Punaro, MD, a pediatric rheumatologist at Texas Scottish Rite Hospital for Children and University of Texas Southwestern Medical Center, Dallas, and the author of this review, stated in a press release. “Also, there is no lab test that can conclusively diagnose rheumatic disease — you have to rule out other common diagnoses. That is why a full physical exam is important, as well as a detailed patient history that will reveal other symptoms. If the patient has one swollen joint, the other joints should be examined because the diagnoses could be very different based on what is found in that exam.”

Key findings of the research include:

  • · If JIA is suspected, the orthopedic surgeon should conduct an assessment of all peripheral joints, not just the joint or joints about which the patient is complaining. Exquisitely painful, tender, or red joints are not typically diagnostic for JIA;
  • · Oligoarticular JIA is the most common type of JIA, affecting 60% of children with this disorder. The onset of this type of arthritis is usually between the ages of 1 year and 3 years;
  • · Treatment of juvenile arthritis is designed to reduce swelling, maintain full movement of affected joints, and relieve pain, and includes medications and physical therapy. Surgery may be indicated in rare cases. Some JIA patients’ disease can go into remission; and
  • · Recent clinical trials are showing that with new drug treatments, remission will soon be a realistic goal for most patients.

“It is important to try and diagnose JIA early so treatment can begin,” Punaro stated. “If left untreated for months or years, there is a likelihood of long-term disability, growth problems or deformity. The disease can cause joint damage that is irreversible. The good news, though, is that when we do diagnose JIA, we have many excellent treatments available.”

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