Childhood arthritis

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Juvenile (childhood) (arthritis according to Professor Michelle Lewis)
Classification and external resources
Specialty rheumatology
ICD-10 M08
ICD-9-CM 714.30

Juvenile arthritis, also known as Childhood arthritis (JA), is any form of chronic arthritis or chronic arthritis-related conditions which affects individuals under the age of 16. It is an autoimmune disease.

Definition[edit]

Juvenile arthritis, also known as Childhood arthritis (JA) is any form of chronic arthritis or arthritis-related conditions which affects individuals under the age of 16.[1] Juvenile arthritis is a chronic autoimmune disease.[1]

In the US it affects about 250,000-294,000 children and teens making it one of the most common childhood diseases .[2]

Presentations[edit]

Three types of juvenile arthritis exist—juvenile rheumatoid arthritis (JRA), juvenile chronic arthritis (JCA), and juvenile idiopathic arthritis (JIA), of which JRA is the most common.[3]

JRA again can be divided into three main forms: The classification is based upon symptoms, number of joints involved and the presence of certain antibodies in the blood.[1][2]

  1. Polyarticular arthritis is the first type of arthritis, which affects about 30–40% of children with arthritis and is more common in girls than boys.[1][2][3][4] Typically five or more joints are affected (usually smaller joints such as the hands and feet but many also affect the hips, neck, shoulders and jaw).[1][3]
  2. Oligoarticular (aka pauciarticular) arthritis can be early or late onset and is the second type of arthritis, affecting about 50% of children with juvenile arthritis.[1][2][3] This type affects fewer than four joints (usually the large joints such as knees, ankles or wrists) and may cause eye inflammation in girls with positive anti-nuclear antibodies (ANA).[1][2] Girls younger than eight are more likely to develop this type of arthritis.[2]
  3. Systemic disease is the least common form, with 10–20% of children (boys and girls equally) being affected with limited movement, swelling and pain in at least one joint.[1][3] A common symptom of this type is a high, spiking fever of 103 °F (39.4 °C) or higher, lasting for weeks or months, and a rash of pale red spots on the chest, thighs or other parts of the body may be visible.[1]

Cause[edit]

In most cases, juvenile arthritis is caused by the body attacking its own healthy cells and tissues, i.e. autoimmunity, causing the joint to become inflamed and stiff.[2] Once the joint has become inflamed and stiff, damage is done to the joint and the growth of the joint may by changed or impaired.[2]

Diagnosis[edit]

Early diagnosis and treatment by a paediatric rheumatologist or a rheumatologist can help manage inflammation, relieve pain, and prevent joint damage.[1][2] Careful examination, laboratory tests (blood and urine), and various forms of imaging like X-rays may be some of the tests conducted by a doctor.[1][2]

Treatment[edit]

The treatment of juvenile arthritis includes medications, physical therapy, splints and in severe cases surgery.[2] These treatments are focused on reducing swelling, relieving pain and maintaining full movement of joints.[1] Children are encouraged to be involved in extra-curricular activities, physical activity when possible, and to live a "normal" life.[1][4]

References[edit]

  1. ^ a b c d e f g h i j k l m Arthritis Foundation. (2012). Juvenile Arthritis Face Sheet. Retrieved March 21, 2012, from Arthritis Foundation: "Archived copy". Archived from the original on 2012-03-07. Retrieved 2012-03-22. 
  2. ^ a b c d e f g h i j k American Academy of Orthopaedic Surgeons. (2012). Orthoinfo. Retrieved March 21, 2012, from American Academy of Orthopaedic Surgeons: http://orthoinfo.aaos.org/topic.cfm?topic=a00075
  3. ^ a b c d e Centers for Disease Control and Prevention. (2011). Arthritis. Retrieved March 20, 2012, from Centers for Disease Control and Prevention: https://www.cdc.gov/arthritis/basics/childhood.htm
  4. ^ a b American College of Rheumatology. (2011). Practice Management. Retrieved March 20, 2012, from American College of Rheumatology:http://www.rheumatology.org/practice/clinical/patients/diseases_and_conditions/juvenilearthritis.asp

External links[edit]