Juvenile rheumatoid arthritis is the most predominant type of arthritis taking place in children. It can occur between the age of 6 months and 16 years. The precise cause of the disorder is unknown. Experimentation says that it is an autoimmune disorder. Autoimmune disorder is seen when the WBCs make confusion to decide the difference between a foreign invader like a micro-organism and body's own healthy tissues and release chemicals to kill them, which result in pain and inflammation. It is utmost important to recognize this sickness in its starting condition and tackle it before it becomes uncontrolled.
There are three forms of juvenile RA and in all of them, joints are the general places of inflammation. More than one joint can be affected and the more the number of victimized joints, the more critical is the sickness. In that circumstance, the symptoms usually do not go in remission.
The first kind of juvenile RA is oligoarticular JRA, which is displayed in four or less than four joints. It is categorized by pain, swelling or stiffness in the joints. Most commonly inflamed joints are of wrist and knee. Sometimes, joint symptoms are not depicted, in place of that, inflammation of iris, i.e. the colored portion of the eye, is depicted, which is termed as iritis, uveitis or iridocyclitis. In time exploration of this can be done by an eye-specialist.
In another category of juvenile RA, called polyarticular JRA, five or more than five joints are inflamed. It commonly makes its presence in girls than boys. Small joints, for example, those in hands and weight-bearing joints, for example, that in hips, ankles, feet, knees and neck are victimized on larger scale. Low-grade body temperature and bumps or nodules may also take place. The nodules take place on the parts where more pressure is given while leaning or sitting.
Third kind is systemic juvenile rheumatoid arthritis. This affects entire body. Its symptoms involve high fever which raises mostly in the evenings and may abruptly come to normal. When the fever starts, the child looks anemic, feels very sick or gets rashes. The rash may burst and subside suddenly. Sometimes spleen and lymph nodes get swollen. Consequently, various other joints become painful, swollen and stiff.
An beginning manifestation of juvenile RA is lax knees, fingers or wrists. Sudden swelling may be depicted in the joints, which can last long. Neck, hips and other joints also can become stiff. Suddenly coming and going rashes may also be displayed in one after another point. Prime depiction is the high fever depicted in the evening and suddenly coming down to normal.
The handling of juvenile RA usually involves drugs, physiotherapy and exercise, however in some typical situations, the kid is required to have injections of corticosteroids into the joints or also operation. It is the task of the physiotherapist, rheumatologist and general physician to work upon the most appropriate treatment line for the child.
Management is mainly focused on symptom relief, i.e. calming down pain and inflammation, and slow down or stop the further progression of the disorder and remove the restraints on the movements as far as possible.
The medications chiefly involve non-steroidal anti-inflammatory drugs (NSAIDs), for example, ibuprofen. They are for controlling the harmful chemicals released from the white blood cells and thus controlling pain and inflammation. If they cannot restrict the pain and inflammation, the doctor may start other drugs, for example, methotrexate.
You should be more and more aware of juvenile rheumatoid arthritis, if your child has got JRA, so that you can offer him or her the most appropriate care.