Article Evaluation https://en.wikipedia.org/wiki/Juvenile_idiopathic_arthritis
Overall this was a good article regarding juvenile idiopathic arthritis. Everything in the article pertained to the topic and I did not find anything that was "distracting." I thought it was good the author broke up each section of the disease which made it easy to follow. I did not find the article to be biased in any way as it simply presented the signs, symptoms, causes and treatment for the disease. It discussed medications, surgery and PT/OT treatment options. There was once section that needed a citation. The article also had many citations backing up the information they presented.
I plan to edit the differential diagnosis section of this article. They only discuss one other diagnosis so more detail could be added.
There are several other disorders and diseases that present with symptoms similar to JIA. One possibility could be acute pediatric lymphoblastic leukemia in which children will exhibit joint pain and arthritis due to expansion in the lymphoblasts in bone metaphyses. Thrombocytopenia and lymphocytosis are rare in children and should be looked at when identifying the cause of joint pain because both are seen in children with leukemia. Behcet Syndrome is a multisystem disease also with symptoms similar to JIA. The etiology is unknown and it leads to multisystem inflammation. It can progress to aphthous ulcers, genital ulcerations as well as blindness form uvitis. The additional symptoms and age onset, as Behcet syndrome is rarely diagnosed before school age, can help differentiate. Lyme disease can also commonly be confused with JIA due to the arthritis that develops if left untreated or undiagnosed. The systemic arthritis that develops affects multiple joints and can mimic the arthritis caused by JIA. To rule out Lyme Disease a ELISA blood test can be done to identify antibodies towards the bacteria leading to lyme disease.