This video was made by a thirteen year old who has Juvenile Rheumatoid Arthritis (JRA)
Dr Philip Kahn discusses the types and symptoms of Juvenile Rheumatoid Arthritis (JRA)
Arthritis is not just an old-age disease
JRA affects thousands of children every year
I was thinking about the topic of my next post when my son called with some shocking news. We had noticed that his two year old daughter was walking with her right foot slightly turned inward. He and his wife decided to have it checked out by the pediatrician, but we were not prepared to receive the unexpected news. Maddy is an active child and showed no signs of discomfort in that area. She was running around as usual and the possibility of JRA was unthinkable, but to our surprise blood tests indicated this maybe a reality.
I decided that this was good time to learn more about this disease that most of us view as one acquired in old-age and not two years of age. I found that JRA is also called childhood arthritis and pediatric arthritis. It is not as uncommon as we think and can be controlled by traditional and modern medications. JRA has various degrees of severity and treatment is determined by these symptoms. Below is a description of the different forms of JRA and secondary problems they may cause.
Inflammation of the Synovial Membrane in JRA
There are several types of juvenile arthritis:
- Polyarticular juvenile rheumatoid arthritis (JRA) – or juvenile idiopathic arthritis (JIA) – typically affects five or more joints. This type of juvenile arthritis usually affects girls, and most commonly affects the knees, wrists and ankles. May also affect the hips, neck, shoulders and jaw, and usually affects the joints bilaterally.
- Pauciarticular juvenile rheumatoid arthritis (JRA) – or juvenile idiopathic arthritis (JIA) – affects typically four or fewer joints. Typically affects the knees, ankles or wrists, and generally affects unilaterally. Sometimes causes eye inflammation (uveitis), this occurs most often in young girls who have positive anti-nuclear antibodies (ANA).
- Systemic onset juvenile rheumatoid arthritis (JRA) – or juvenile idiopathic arthritis (JIA) – typically affects both sexes equally. Often causes very high fevers for days or months, light red rashes often develop on the chest, thighs and often other parts of the body. This type typically affects the small joints of the hands, wrists, knees and ankles.
- Juvenile Spondyloarthropies – including ankylosing spondylitis, seronegative enthesopathy and arthropathy syndrome. These are a group of diseases involving the spine and joints of the lower extremities, most commonly the hips and knees.
- Juvenile Psoriatic Arthritis – this type of arthritis affects girls and boys, usually occurs in association with the skin condition psoriasis.
- Juvenile Dermatomyositis – this type of arthritis is an inflammatory disease, it causes muscle weakness and is characterized by a skin rash that affects the eyelids.
- Juvenile Systemic Lupus Erythematosus – this is an autoimmune disease often associated with skin rashes, arthritis, pleurisy, kidney disease and neurologic movement.
- Juvenile Vasculitis – this is an inflammation of the blood vessels, it can be both a primary childhood disease and a feature of other syndromes, some of these include dermatomyositis and systemic lupus erythematosus
Child with JRA – Mommy my knees hurt
So we wait and see what the final diagnosis will be for our precious Maddy. We are confident that what ever the scenario maybe, she will receive the most advanced treatment and care medically available. I will keep you updated and offer more information on JRA in the future.
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arthritis aka, pediatric arthritis, affects nearly three hundred thousand young persons under the age of eighteen. Ambulatory care visits for pediatric arthritis and rheumatologic conditions averaged 827,000 annually, ……More at Juvenile Arthritis | HealthStatus – How is your health?More Reading