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Juvenile rheumatoid arthritisDefinition Juvenile rheumatoid arthritis (JRA) is a chronic disease resulting in joint pain and inflammation. It may result in joint damage. It usually occurs before age 16. Causes, incidence, and risk factors JRA is a chronic inflammatory arthritis in children. It occurs in 50-100 per 100,000 children in the United States. JRA is a general term for the most common types of arthritis in children. It is divided into several categories:
Symptoms Arthritis symptoms:
Systemic JRA symptoms:
JRA can also cause eye inflammation. These symptoms include:
Signs and tests The physical examination shows swollen, warm, and tender joints that hurt to move. The child may have a rash. Other signs include an enlarged liver, enlarged spleen, or swollen lymph nodes. Blood tests may include:
The doctor may need to tap a joint. This means that they will put a small needle into a joint that is swollen. This can help to find the cause of the arthritis. By removing fluid, the joint may feel better, too. Sometimes, the doctor will inject steroids into the joint to help decrease the swelling. Other tests:
Treatment The goal is to preserve mobility and joint function and support the patient and family through a long chronic illness. Therapeutic medications include:
Note: Talk to your health care provider before giving aspirin or NSAIDS to children. Physical therapy and exercise programs may be recommended. Surgical procedures may be indicated, including joint replacement. Expectations (prognosis) JRA is seldom life threatening. Long periods of spontaneous remission are typical. Often, JRA improves or goes into remission at puberty. Approximately 75% of JRA patients eventually enter remission with minimal functional loss and deformity. For additional information and resources, see arthritis support group. Complications
Calling your health care provider Call for an appointment with your health care provider if you notice symptoms of juvenile rheumatoid arthritis. Also call your health care provider if your symptoms get worse, do not improve with treatment, or if new symptoms develop. Prevention There is no known prevention for JRA. Page Content: Juvenile chronic polyarthritis; JRA; Still's disease; Juvenile idiopathic arthritis ; disease still; adult disease onset still; adult disease still; jra; jra cimrman; jra furniture; jra furniture industry; jra patio furniture; jra furniture gazebo; jra century furniture; jra industry; jra gazebo; jra architect; jra century patio furniture; jra century furniture industry; book guest jra; jra support group; jra meade.k12.ky.us; jra century gazebo; japan jra; systemic jra; jra outdoor furniture; jra ipat |
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