Juvenile idiopathic arthritis. Symptoms. Treatment.

Juvenile idiopathic arthritisJuvenile idiopathic arthritis, also referred to as juvenile chronic arthritis is a disease attacking the joints especially children. Causes of the disease are not fully known, and the accompanying symptoms rarely include only the ponds.

Symptoms

  • Joint pain and swelling in single joints often affects from one to four
  • Limitation of movement
  • Joint stiffness, especially after waking up
  • High fever, skin rashes, muscle pain, enlarged liver, spleen, lymph nodes, pericarditis, or pleural
  • The disease may be mild (symptoms relate to individual joints) or cause acute inflammation of internal organs life threatening. There is a wide form of the disease with a variety of symptoms and course.

Causes

The immune system attacks its own tissues.

The risk of developing

Increase genetic predisposition. Ill young people under 16 years of age; disease for the first time may occur at the age of 2-3 years in girls.

Diagnostics

Ultrasound, blood tests, blood culture and bone marrow biopsy in the situation when symptoms are severe and require hospitalization. Two recent studies help to exclude and sepsis (a life-threatening bacterial infection of the blood) and a cancer.

Complications

Muscle contractures, deformation of joints, inflammation of the eye, which if left untreated may even lead to blindness.

Treatment

Pediatrician-rheumatologist (a referral from your GP) prescribes the treatment. Due to the likelihood of ocular inflammatory condition necessary eye tests every three months. Immunosuppressive drugs are used with non-steroidal anti-inflammatory drugs (Naproxen, Diclofenac, Meloxicam), glucocorticoids (Hydrocortisone, Cortisone) and sometimes topically administered by injection as a single joints are affected. In addition to pharmacological treatment is recommended physiotherapy and gymnastics under the guidance of a physiotherapist.