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Case No. 4: Juvenile Rheumatoid Arthritis

Juvenile Rheumatoid Arthritis
Case No. 4: Juvenile Rheumatoid Arthritis

Modality:

X. Ray Hand.

Description of Case No. 4:

Periarticular osteoporosis and soft tissue swellings are noted around the metacarpophalangeal and proximal interphalangeal joints and the wrist. Mild joint space narrowing,  erosive abnormalities, and periosteal bone formation in seen in the phalanges.

Diagnosis:

Juvenile Rheumatoid Arthritis.

Key Point:

Juvenile rheumatoid arthritis is also known as Juvenile idiopathic arthritis.
Asymmetrical abnormalities of both hands are most typical.
Swelling and regional osteoporosis can develop about the distal interphalangeal, proximal interphalangeal, and metacarpophalangeal joints.
Periostitis of the metacarpal and phalangeal shafts, preservation of the joint space, and absence of significant erosions are most common.
Epiphyseal collapse and deformity are also characteristic.

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