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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.

 

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.


 

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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