Pediatric emergency medicine trisk 2985 2985
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FIGURE 101.8 Radiograph showing features of juvenile idiopathic arthritis, including soft tissue
swelling, bony overgrowth, and periarticular osteopenia adjacent to affected joints.
Radiographic features of JIA include soft tissue swelling and periarticular osteopenia
adjacent to affected joints ( Fig. 101.8 ). Later, narrowing of the joint spaces, bony
cysts, erosions, subluxations, and ankylosis may be seen. In children in whom physical
examination is difficult or inconclusive, ultrasonography may confirm the presence of a
joint effusion, and MRI, now increasingly done without contrast, may show both
synovial proliferation and increased fluid in the joint space.
Management
General Management
