Juvenile Rheumatoid Arthritis
Info
Juvenile Rheumatoid Arthritis
(JRA) is the most common form of arthritis in children. It
affects children before the age of 16 and may be a mild
condition that causes few problems; or become a chronic
condition that causes inflammation in one or more joints.
There are three types of Juvenile
arthritis; each with their own set of symptoms.
owever, the most common symptoms of Juvenile
Rheumatoid Arthritis include joint inflammation; joint
contracture (stiff, bent joint); or joint damage including
alteration or change in growth. Many children with Juvenile
Rheumatoid Arthritis suffer from joint stiffness; particularly
following rest or decreased activity.
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Juvenile Rheumatoid
Arthritis: Symptoms, Causes and
Treatment
When most people think of
arthritis, they think of a
condition that most often
strikes the older population.
This, unfortunately, is not
true. Some form of diabetes
affects over 285,000 children
in the United States. Of these,
juvenile rheumatoid arthritis
is the most prevalent form of
diabetes to affect the younger
population. Juvenile rheumatoid
arthritis is an
often-debilitating disease that
affects the younger population
in ways similar to what older
patients must endure. Medical
researchers estimate that
approximately 75,000 children
suffer from juvenile rheumatoid
arthritis in the United States.
Most children who are diagnosed
are between six months and
sixteen years of age.
The symptoms of juvenile
rheumatoid arthritis are
similar to those experienced by
rheumatoid arthritis patients.
The conventional symptoms of
arthritis also apply here. They
include stiffness in the
joints, muscle pain, swelling
of the joints, and an inability
to accomplish everyday tasks in
an efficient manner. Juvenile
rheumatoid arthritis differs
from the adult version in that
the disease is classified into
three distinct types. These are
polyarticular, pauciarticular,
and systematic juvenile
rheumatoid arthritis. Each has
its own class of distinct
symptoms, although all share
the common symptoms associated
with most types of arthritis.
Also, unlike adult rheumatoid
arthritis, juvenile rheumatoid
arthritis may also encompass a
host of specific side effects,
including fevers, rashes, and
swollen lymph nodes and spleen.
In most cases, the presence of
fevers and rashes may worsen or
improve intermittently.
However, patients who
experience swelling of the
lymph nodes or spleen may find
that their symptoms simply
worsen with time.
Diagnosis of juvenile
rheumatoid arthritis can
sometimes be difficult since
symptoms can initially be
rather subtle. Early signs of
juvenile rheumatoid arthritis
include stiffness in the hips
or neck, and sore fingers,
wrists, or knees. Other more
severe symptoms may include
limping or inability to walk,
fevers that won't go away, and
rashes. If symptoms persist,
the health professional may
conduct additional tests or
refer the patient to a
specialist who will conduct
additional tests until a
decisive diagnosis is made.
Although the causes of
juvenile rheumatoid arthritis
are not known, scientists do
understand the basic underlying
structure of the disease. Like
adult rheumatoid arthritis,
juvenile rheumatoid arthritis
is an autoimmune disorder.
Children afflicted with
juvenile rheumatoid arthritis
produce antibodies that attack
the joint tissue. The body
mistakes its own tissues for a
virus, bacteria, or some such
foreign invader, thus attacking
and destroying its own joint
tissues.
Treatment for juvenile
rheumatoid arthritis may
encompass a variety of therapy
options. Drug treatment
generally consists of NSAID
class drugs. Some examples of
NSAID drugs include naproxen
and ibuprofen. NSAID drugs are
non-steroidal anti-inflammatory
drugs that help control the
symptoms of juvenile rheumatoid
arthritis. Regular physical
exercise is also an important
facet of treatment. Children
should receive some form of
regular physical activity in
order to keep the bones strong
and the joints mobile and
flexible. Swimming and water
exercises are highly
recommended, while high impact
sports and activities such as
running and tennis should be
avoided.
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Others suffer from weakness in the muscles and soft tissue
around arthritic joints. Juvenile Rheumatoid Arthritis is
classified into three types. The type is typically determined
based on the symptoms displayed by the child during the first
six month of illness. These classifications are based on the
number of joints involved, the symptoms, and the presence or
absence of certain antibodies v Systemic onset type
[SIS-tim-ik]: This type of Juvenile Rheumatoid Arthritis is
characterized by fever and a light skin rash. Occasionally,
Systemic onset type affects the internal organs including the
heart, liver, spleen, and lymph nodes.
Systemic accounts for 20 percent of all Juvenile Rheumatoid
Arthritis cases. Symptoms include fever, rash, swelling,
inflammation and pain in or around the joints. v Pauciarticular
onset disease [PAW-see-are-TICK-you-lar]: This type of Juvenile
Rheumatoid Arthritis is the most common form and affects about
50 percent of all children with arthritis.
Pauciarticular onset disease typically affects the larger
joints such as knees and elbows. It generally develops in girls
under the age of eight. Symptoms include swelling,
inflammation, and pain. Pauciarticular means that four or fewer
joints are affected. Of particular importance is the fact that
Pauciarticular onset disease causes eye disease in
approximately 30 percent of children diagnosed with this type
or JRA. Regular eye exams by a qualified ophthalmologist are of
the utmost importance. v Polyarticular disease
[PAUL-e-are-TICK-you-lar]: This type of Juvenile Rheumatoid
Arthritis develops in about 30 percent of all with JRA.
Polyarticular tends to affect the small joints, such as
those in the hands and feet. Oftentimes, Polyarticular will
affect the same joint on both sides of the body. Symptoms of
Polyarticular include swelling, inflammation or pain affecting
five or more joints.
Statistics show that nearly 300,000 American children have
some form of arthritis. The most prevalent form of arthritis in
children is Juvenile Rheumatoid Arthritis (JRA), which affects
nearly 50,000 children in the United States.
The exact cause of juvenile rheumatoid arthritis remains a
mystery. Many researchers believe it is an autoimmune disease
-- a disease that causes the immune system to become
hyperactive and start attacking normal tissue. When this
occurs, the body overproduces cytokines, which leads to
inflammation within the body. Cytokines are chemical signals
used to allow one cell to communicate to another. They play an
important role in immune system responses.
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