From: Juvenile idiopathic arthritis: from aetiopathogenesis to therapeutic approaches
JIA disorders | Early-onset ANA+ JIA | RF+ JIA | Enthesitis/ spondylitis- related JIA | sJIA |
---|---|---|---|---|
Clinical criteria | • Arthritis for ≥6 weeks, and • Early-onset (≤ 6 y.o.) | • Arthritis for ≥6 weeks | • Peripheral arthritis and enthesitis, or • Arthritis or enthesitis, + ≥ 3 months of sacroiliitis, or • Arthritis or enthesitis + 2 of the following: - sacroiliac joint tenderness - inflammatory back pain - acute anterior uveitis - history of a SpA in relative | • Fever with exclusion of infectious, neoplastic, autoimmune, or monogenic autoinflammatory diseases, for at least 3 days and reoccurring over 2 weeks + 2 major criteria or 1 major criterion and 2 minor criteria Major criteria: • evanescent erythematous rash • arthritis Minor criteria: - generalized lymphadenopathy and/or hepatomegaly and/or splenomegaly - serositis - arthralgia lasting more than 2 weeks |
Laboratory criteria | • 2 “+” ANA tests with a titer ≥1/160 at least 3 months apart | • 2 positive tests for RF at least 3 months apart or • 1 positive test for anti-CCP | - presence of HLA-B27 antigen | - leukocytosis (≥ 15,000/mm3) with neutrophilia |
Adult equivalent | – | RF-positive RA | Spondyloarthritis | AOSD |