Juvenile rheumatoid arthritis or juvenile rheumatoid arthritis is rheumatoid arthritis in patients, mainly children under 16 years. However, due to the fact that children have less developed immune systems, which can not be the treatment of rheumatoid arthritis to be given to adults and require a more delicate. In addition, the long-term prognosis for patients with juvenile rheumatoid arthritis is often better than that of adult patients with RA as the disease often goes into remission before adulthood without serious sequelae.
Juvenile rheumatoid arthritis, as the adult version, is supposed to abandon the category of autoimmune disease.
Autoimmune diseases are characterized by the body "to turn on itself" and to attack its own cells, mistaking them for pathogens to be destroyed.
Juvenile rheumatoid arthritis can belong to one of the names:
Pauciarticular juvenile rheumatoid arthritis is a form that only affects a few joints. Joints of the ankle, knee and hip are the most common locations.
Juvenile rheumatoid arthritis affects multiple joints in large and small, and has the potential to become full PR.
The systemic form can involve inflammation of the joints, the development of a rash and / or fever and is less common form seen in juvenile rheumatoid arthritis.
Several other health-related questions may trigger JRA-like symptoms such as bone infection, Lyme disease, IFB (an inflammatory bowel disease) and many others.
Like adult rheumatoid arthritis, juvenile rheumatoid arthritis has several characteristic symptoms:
Stiffness, especially when you wake up in the morning
Painful and / or swelling
Decreased range of motion and rotation
The joints that are hot to the touch, and sometimes a red color can be seen
Back pain
Halter or reducing the use of the extremities
Cases, several other systemic symptoms can be observed:
Fever
Swollen lymph nodes (note that this symptom is characteristic of many diseases such as lymphatic system is responsible for immunity in the body and a perceived threat that provokes an immune response can be seen in the lymph nodes. It why the physician is always (felt with the fingers) on the neck of a periodic review.
Development of rash
As adults, 's, RA tissues and other organs may participate in the disease process, including the eyes, liver, spleen, etc.
JRA diagnosis
Diagnosis of juvenile rheumatoid arthritis is rheumatoid factor test (even a negative to this test does not mean the patient does not have JRA). Blood count may be removed and, although many patients do not experience any significant changes in blood counts JRA.
The synovial fluid can be drawn from a common and painful examination of all. This drainage is to relieve pain.
In order to reach a definitive diagnosis, many tests can be performed.
JRA treatment
After the diagnosis of rheumatoid arthritis in a young person, mild cases, with a minimum of joint symptoms can often be tamed with over-the-counter nonsteroidal anti-inflammatory. Those with more severe juvenile rheumatoid arthritis are sometimes prescribed anti-inflammatory systemic, if effective, can have serious side effects. This is particularly troubling given that the pediatric population, by definition, must take into account the weakness of the immune system of patients, especially when they are immunosuppressed by disease.
Generally, the JRA patients exercise regularly, take plenty of sunshine (or supplementing with vitamin D-3 at lower doses for adults) to eat (and avoid inflammatory drugs such as wheat and in some cases, products Milk) and introduce a system of fish oil of high quality supplements to curb the systemic inflammation.
JRA forecast
Although some juvenile rheumatoid arthritis in patients who develop large scale RA, many see the resolution of the disease before adulthood.
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