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ANA-positive oligoarticular JIA — SCE Rheumatology MCQ

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HardPaediatric rheumatologyANA-positive oligoarticular JIASCE Rheumatology

A five-year-old with ANA-positive oligoarticular juvenile idiopathic arthritis has no ocular symptoms. What surveillance is required?

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Correct answer: B — Risk-stratified slit-lamp examination at the scheduled surveillance interval

JIA-associated chronic anterior uveitis can be asymptomatic until structural eye damage has occurred. Young age, oligoarticular onset and ANA positivity confer high risk, so scheduled slit-lamp screening is required irrespective of symptoms.

Reference: RCOphth/BSPAR guideline for uveitis screening in juvenile idiopathic arthritis (Current UK guidance page, accessed 30 July 2026): https://www.rcophth.ac.uk/resources-listing/guidelines-for-screening-for-uveitis-in-juvenile-idiopathic-arthritis-jia/; NICE TA373: biologic treatments for juvenile idiopathic arthritis (Published December 2015): https://www.nice.org.uk/guidance/ta373/chapter/1-Recommendations