JIA Uveitis Screening — RACP Paediatrics MCQ

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EasyRheumatologyJIA Uveitis ScreeningRACP Paediatrics

A 4-year-old presents with unilateral chronic knee swelling. He has no other joint involvement and is otherwise well. ANA is positive. What ocular complication must be screened for?

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Correct answer: A — Anterior uveitis (chronic, asymptomatic)

Oligoarticular JIA (especially ANA positive, young females) carries a high risk of chronic anterior uveitis that is typically asymptomatic until vision loss occurs. Slit-lamp screening every 3 months for the first 4 years (then less frequently) is mandatory. Untreated uveitis can cause cataracts, glaucoma, and blindness.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: JIA-Associated Uveitis