Enthesitis related arthritis: A case report of delayed diagnosis and management

Abstract

Enthesitis related arthritis belongs to undifferentiated type of Juvenile spondylo arthropathy in JIA subtype of ILAR Classification. Clinical features vary from adult spondylo arthropathy making adult classification criteria inaccurate for paediatric group. Because of significant heterogeneity of this disease phenotype, it has been difficult to propose a classification criteria. JSpA accounts for 20% of JIA with onset usually after 6 yrs with male preponderance (M:F- 7:1).Here we would like to report a case of Enthesitis related arthritis in 11yr old male which started as Hip joint involvement and later with lt knee joint and tarsitis. He was managed well conservatively and followed up with DMARDs and supportives.