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  • Juvenile Rheumatoid

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    Obet Agung 天
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    Juvenile Rheumatoid Arthritis is a form of arthritis that affects children. It has several subtypes including Still's Disease and Juvenile Chronic Arthritis. The disease is characterized by joint pain, stiffness, and swelling. It can also affect other body systems like the heart, lungs, skin, and eyes. If left untreated, it can cause long-term joint damage and deformity. Diagnosis involves assessing symptoms, labs, x-rays, and ruling out other conditions in children under 16 years old. Treatment options include medications like NSAIDs, steroids, DMARDs, and sometimes surgery.

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    Juvenile Rheumatoid

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    Juvenile Rheumatoid Arthritis is a form of arthritis that affects children. It has several subtypes including Still's Disease and Juvenile Chronic Arthritis. The disease is characterized by joint pain, stiffness, and swelling. It can also affect other body systems like the heart, lungs, skin, and eyes. If left untreated, it can cause long-term joint damage and deformity. Diagnosis involves assessing symptoms, labs, x-rays, and ruling out other conditions in children under 16 years old. Treatment options include medications like NSAIDs, steroids, DMARDs, and sometimes surgery.

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    24 views5 pages

    Juvenile Rheumatoid

    Uploaded by

    Obet Agung 天
    Juvenile Rheumatoid Arthritis is a form of arthritis that affects children. It has several subtypes including Still's Disease and Juvenile Chronic Arthritis. The disease is characterized by joint pain, stiffness, and swelling. It can also affect other body systems like the heart, lungs, skin, and eyes. If left untreated, it can cause long-term joint damage and deformity. Diagnosis involves assessing symptoms, labs, x-rays, and ruling out other conditions in children under 16 years old. Treatment options include medications like NSAIDs, steroids, DMARDs, and sometimes surgery.

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    of 5

    Juvenile Rheumatoid Arthritis :

     Still’s Disease
     Juvenile Chronic Arthritis
    Etiologi & Patogenese ??
    Gejala Klinis :
     Prodromal : Kaku, malaise, nyeri sendi,
    pemarah, mogok jalan
     Tipe onset : 1. Poliarticular : >5
    2. Oligo/Pausi : ≤ 4 : Lutut
    3. Sistemik
     Manifestasi E.A : Jantung, paru, ssp, ren,
    tendon & otot nodul
    rhematoid subcutan, mata,
    growth
    Patologi = Dewasa
     Hipertrofi : Synovial  terbentuk villi
     Subsinovia : Oedem, hiperemia, infiltrasi,
    lymfosit & plasma  pannus
     Tulang rawan & sekitar : Erosi & Destruksi
     Progresif, stadium akhir :
    deformitas,subluxasi, ankilosis fibrosis &
    ankilosis tulang
    Laboratorium :
    a. Anemia normochrom – Hipo
    b. Lekositosis
    c. LED 
    d. CRP 
    e. γ globulin &  2 globulin 
    f. Ig , titer antibody virus 
    g. Rl. fe (latex & waaler rose)
    h. ANA (+)
    i. LE sel (+)
    j. HLA Dw 7 & 11 : 46%
    k. Cairan sinovia : tanda infeksi,glucose ↓, Rl fe
    kadang-kadang (+)
    l. Urine : protein uria
    Rö : Oedem jaringan lunak, Osteoporosis,
    Erosi
    Diagnose : 1. Usia < 16 tahun
    2. Artritis ≥ 1 sendi
    3. 4 minggu – 3 bulan
    4. Selama 4-6 bulan
    - Poli
    - Oligo
    - Syst
    5. menyingkirkan Penyakit Reumatoid
    lainnya
    Terapi : Salisyl, NSAID, Kortikosteroid, Gold
    Sald, Penisilamin, Fisis, Operasi
    Ortopedik.

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