Most common chronic arthritis seen in children –
High-Yield Explanation
Amongst the given option only JRA causes chronic arthritis in children.
Arthritis
Arthritis in children is diagnosed if -
A) There is swelling or effusion in a joint
B) There are any 2 of the following features -
Decreased ROM
Pain
Tenderness
Increased local temperature
Differential diagnosis of arthritis
Acute arthritis (usually <2 weeks)
Acute rheumatic fever
Transient (`toxic') synovitis
Arthritis associated with Kawasaki disease
Henoch-Schlein purpura
Septic arthritis (Staphylococcus aureus, Hemophilus influenza,
Neisseria meningitides)
Trauma
Subacute arthritis (2-6 weeks)
Reactive arthritis secondary to extra-articular infection
Arthritis associated with SLE, dermatomyositis, polyarteritis nodosa
Bone pains (? arthritis) associated with leukaemia/neuroblastoma
Arthritis associated with Lyme disease/brucellosis
Sickle cell disease, bleeding diathesis, hemarthrosis
Primary immunodeficiency’s (e.g., Bruton's hypogammaglobulinemia)
Chronic arthritis (> 6 weeks)
Juvenile rheumatoid arthritis
Ankylosing arthritis
Tubercular arthritis
Legg-Calve-Perthes disease
Psoriasis
Inflammatory bowel disease