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Doctor insights on: Juvenile Arthiritis

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How can juvenile rheumatoid arthiritis work?

How can  juvenile rheumatoid arthiritis work?

Autoimmune disease: Juvenile arthritis is an autoimmune disease that affects children where their own white blood cells "get confused" and attack some of their joints causing inflammation that can damage their joints.There is no cure now and it is not self-limited.Kids should be followed by a board certified pediatric rheumatologist and almost all will need weekly low dose Methotrexate and a tnf inhibitor like enbrel (etanercept). ...Read more

Dr. Thomas Namey
2,357 doctors shared insights

Arthritis (Definition)

Arthritis is progressive degeneration of one or more joints. Symptoms may include joint pain, swelling, decreased motion, and stiffness. The two most common types of arthritis are osteoarthritis, which is associated first with articular cartilage breakdown with a component of inflammation, and rheumatoid arthritis, which is a systemic autoimmune disorder that affects joint linings first and secondarily ...Read more


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How could you diagnose juvenile arthritis?

How could you diagnose juvenile arthritis?

By careful history,: physical examination, and blood tests, as with most disease conditions. ...Read more

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What are the symptoms of juvenile arthritis?

What are the symptoms of juvenile arthritis?

Highly variable: There are different forms of childhood arthritis. Things that should make you want to seek care sooner rather than later would basically be anything beyond "plain pain." swelling, skin rashes, fevers, or feeling sick in general are all reasons to be evaluated. ...Read more

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What are some symptoms of juvenile arthritis?

What are some symptoms of juvenile arthritis?

Multi system: There are many types of jra all with different signs and symptoms. Symptoms range from joint swelling and pain on 4 or less joints, to multiple joint involvement with pain swelling and redness with fever, organ and eye involvement . There is a form that causes skin rashes similar to psoriasis. ...Read more

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What are the different types of juvenile arthritis?

What are the different types of juvenile arthritis?

Many, all treatable: Juvenile idiopathic arthritis (same as jra, newer name) can be classified into several categories: oligoarticular jia (4 or fewer joints affected), polyarticular jia (more than 4 joints affected), psoriatic arthritis (arthritis in kids with psoriasis, nail changes, whole finger/toe swelling), inflammatory bowel disease-associated arthritis, enthesitis-related arthritis, ankylosing spondylitis. ...Read more

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How to tell if someone may have juvenile arthritis?

How to tell if someone may have juvenile arthritis?

Juvenile arthritis: A child with juvenile arthritis may limp, or stop using one hand, or crawl asymmetrically, or have obvious swelling of a wrist, knee, ankle, finger or elbow. They may be less active than usual, although quite often they are just as energetic. ...Read more

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How to tell if I have juvenile idiopathic arthritis?

How to tell if I have juvenile idiopathic arthritis?

Peds rheumatologist: There is no blood test that can diagnose juvenile idiopathic arthritis. Child must have joint swelling on exam or active synovitis on an MRI of the joint that must be done with IV contrast (mri without contrast cannot detect active arthritis unless it is advanced), that is not due to infection or injury. Kids with suspected jia should be evaluated by a board certified pediatric rheumatologist. ...Read more

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How is jra (juvenile arthritis) diagnosed in a teen?

How is jra (juvenile arthritis) diagnosed in a teen?

See below: A lot of the diagnosis will be based on the history of joint swelling, redness, and pain. And a physical exam that reveals the joint findings. Then, labs can be ordered to help confirm the diagnosis. ...Read more

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What medications should I take for juvenile arthritis?

What medications should I take for juvenile arthritis?

MTX & TNF-inhibitor: Kids tolerate the combination of weekly Methotrexate injected under the skin(mtx)and a tnf-inhibitor(enbrel, humira, (adalimumab) remicade)so well, there is no reason to not start both medications.The goal in children should be no active arthritis.There is not the same risk of infections that adults have w/ meds.Kids are growing and anything less than total remission of their disease can inhibit normal growth. ...Read more

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