All are TRUE about juvenile ahritis EXCEPT
Criteria for the classification of JRA Age at onset < 16 years Ahritis (Swelling or effusion or presence of two or more of the following signs limitation of range of motion, tenderness or pain on motion, and increased heat in one or more joints -Duration of disease 6 weeks or loner - Onset type defined by type of disease in first 6 months - Polyahritis - 5 or more inflamed joints - Oligoahritis (Pauciaicular) <5 inflamed joints - Systemic ahritis with characteristic fever -Exclusion of other forms of juvenile ahritis. -Pauciaicular JRA is the most frequent type of JRA accounting for about 60% of patients -Antinuclear antibodies (ANA) are frequently positive Rheumatoid factor is negative, is seen in pauciaicular and systemic JRA and Rheumatoid factor positive in polyaicular JRA and poends a poor prognosis - ANAs are present in at least 40 to 85% of all children with pauciaicular or polyaicular IRA, but are unusual in children with systemic onset JRA Lyme ahritis - recurrent episodes of asymmetric ahritis of large joints -A chronic migratory skin rash -Neurologic involvement (aseptic meningitis, myelitis, chorea) - Rheumatoid factor is negative
Rheumatoid factor positive
Increased ESR
Hepatosplenomegaly
Fever with rash