Juvenile idiopathic arthritis

Case contributed by Dr Jane McEniery

Presentation

Worsening left ankle pain.

Patient Data

Age: 16 years
Gender: Female
X-ray
  • generalized osteopenia
  • widening of the distal tibial and fibular metaphyses with epiphyseal overgrowth
  • joint space loss at the talocrural articulation
  • flattening and sclerosis of the talar dome
MRI
  • diffuse chondral loss throughout the articulations of the hindfoot
  • joint effusions and synovitis
  • epiphyseal overgrowth
  • flattening of the talar dome

Case Discussion

This is a case of longstanding JIA. The main differential diagnosis is hemophiliac arthropathy.

If not previously performed, management includes imaging of other symptomatic joints and joint fluid aspiration.

Case contributed by Dr Patricia Connor. 

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Case information

rID: 66963
Published: 26th Apr 2019
Last edited: 29th Apr 2019
Inclusion in quiz mode: Included

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