A 5-year-old girl with pauciarticular juvenile idiopathic arthritis and a positive antinuclear antibody attends for ophthalmic screening. She has no ocular symptoms. Which pattern of uveitis is she most likely to have?

• A Chronic insidious anterior uveitis detected only on slit-lamp screening ✓
• B Acute symptomatic anterior uveitis with marked pain and photophobia
• C Acute hypopyon panuveitis with retinal vasculitis
• D Bilateral necrotising herpetic retinitis

Explanation

JIA-associated uveitis is typically chronic anterior uveitis that is silent because the inflamed child's eye produces little flare, cells are few, and the eye stays white. This is why regular slit-lamp screening every 3 months is mandatory in ANA-positive pauciarticular girls under 7 years. The absence of an acutely red, painful eye kills option B, which describes adult HLA-A27 uveitis instead.

Reference: Parsons' Diseases of the Eye, 23rd ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.