|A.||occurs predominantly in girls.|
involves a few joints.
is usually of insidious onset.
first appears with pain and erythema.
Answer: D. first appears with pain and erythema.
Explanation: D. JRA- related uveitis is typically asymptomatic, insidious, frequently detected during a routine screening of visual acuity
Juvenile idiopathic arthritis (JIA) is a form of arthritis in children. Arthritis causes joint swelling (inflammation) and joint stiffness. JIA is arthritis that affects one or more joints for at least 6 weeks in a child age 16 or younger.
Unlike adult rheumatoid arthritis, which is ongoing (chronic) and lasts a lifetime, children often outgrow JIA. But the disease can affect bone development in a growing child.
There are several types of JIA:
Systemic onset JIA.
The trademark of JRA is the development of chronic non-granulomatous anterior uveitis in both eyes. The uvea is the colored part of the eye, including the iris, ciliary body and the choroid layer underlying the retina, nourishing and renewing it.
Uveitis of this type in JRA is typically accompanied by the development of joint pain in children between the ages of 4 and 6 years. In contrast, acute uveitis occurs in children who develop arthritis later, between the ages of 7.5 and 9 years. Arthritis typically occurs months or years before the onset of ocular signs and symptoms. However, uveitis has been recorded to develop anywhere between a year before to 16 years after the condition manifests, or even several years after remission is achieved.
JRA-associated iridocyclitis is often asymptomatic. However, almost 44% of patients present with symptoms such as:
Redness of the eye
Loss of visual acuity
Intolerance to light, or photophobia
The following signs are present:
Cellular infiltrates in the anterior chamber
No visual loss