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Juvenile Rheumatoid Arthritis
Juvenile rheumatoid arthritis affects roughly 75,000 young people in the United States. As the name implies, juvenile rheumatoid arthritis affects children, adolescents and teens, ranging in ages from six months and sixteen years.
As with rheumatoid arthritis, juvenile rheumatoid arthritis is classified as an immune deficiency syndrome. The disease represents an autoimmune reaction wherein the body produces antibodies that attack its own joint tissues. Although scientists have not determined that precise cause of juvenile rheumatoid arthritis, studies point toward various causes. The most popular hypothesis speculates the underlying cause is the body's inability to differentiate between its own tissue and foreign invaders, such as viruses and bacteria. Ironically, juvenile rheumatoid arthritis may actually be the result of the body's efforts to defend itself against disease.
There are three primary forms of juvenile rheumatoid arthritis. They are polyarticular, pauciaticular, and systematic juvenile rheumatoid arthritis. Polyarticular juvenile rheumatoid arthritis is diagnosed when swelling is present in at least five joints throughout the body. Most of the affected joints are those described as weight bearing joints, which include joints in the hands, neck, hips, knees, and ankles.
The second form of juvenile rheumatoid arthritis is described as pauciarticular. Pauciarticular juvenile rheumatoid arthritis tends to affect four or less joints. Symptoms of pauciarticular juvenile rheumatoid arthritis include selling, stiffness, discomfort or severe pain around the afflicted joints. Most often, pauciarticular juvenile rheumatoid arthritis affects the joints of the wrist and knee. One distinguishing feature of this form of arthritis is that it may also affect the eyes. The iris may become inflamed. Indeed, ophthalmologists are often among the first to diagnose cases of pauciarticular juvenile rheumatoid arthritis because their work prepares them to detect early signs of the disease.
The third form of juvenile rheumatoid arthritis is described as systematic. Systematic juvenile rheumatoid arthritis refers to the fact that the disease may sometimes affect the patient's entire body. Children afflicted with systematic juvenile rheumatoid arthritis may suffer from fevers, rashes, and the requisite feelings of joint stiffness and overall pain and discomfort. Other symptoms that are specific to the systematic form of juvenile rheumatoid arthritis include the enlargement of the lymph nodes and the spleen.
Treatment of juvenile rheumatoid arthritis usually consists of an aggressive treatment of NSAIDs class drugs. These are non-steroid anti-inflammatory drugs that are commonly used to treat the symptoms of juvenile rheumatoid arthritis. Regular physical activity is also prescribed and is important in order for the patient to retain their natural range of motion and flexibility, particularly in the synovial joints. High impact, weight bearing exercises like tennis and running, however, should be avoided because these may cause permanent joint damage.
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