Doctor insights on:
Juvenile Rheumatoid Arthritis Carpal Tunnel Syndrome
Does Carpal Tunnel Syndrome caused by rheumatoid arthritis present differently than primary CTS? e.g. slower atrophy due to RR wrist inflammation?
Entrapment of the median nerve at the wrist is how we describe carpal tunnel. There are 8 carpal bones, but the hamate and pisiform form the ulnar side. The trapezium and scaphoid for the radial side. Flex the 3rd digit and look at the palmar hand side. The long flexor's tendon will be visible, the median n is just to its thumb side. Wrist flexion or extension can irritate ...Read more
Can systemic inflammatory response syndrome in a 5 year old with juvenile rheumatoid arthritis cause macrophage activation syndrome?
SIRS + JRA = MAS?: There is controversy as to whether macrophage activating syndrome is a real entity, versus it being confused for hemophagocytic lymphohistiocytosis (hlh). Hlh has much more defined criteria and can make a patient very sick (and requires chemo for treatment). A question i would have is could a patient with jra who develops sirs really have hlh. I would consult peds hem/onc (rheum mds may disagree). ...Read moreSee 2 more doctor answers
Better control now: We have people in adulthood who have had jia also called juvenile idiopathic arthritis. It used to be called juvenile rheumatoid arthritis. We have much better ways to control the jia and our patients can have great control of their symptoms. We can use biologics which can help control a lot and some people can actually come completely off their medications and go into remission. ...Read more
No, not at all: There is no way to "outgrow" jra / jia. It can only be put into remission for periods of time from weeks to years, depending on what type of juvenile arthritis it is and how many joints were involved at the time of diagnosis. Kids with more active joints at diagnosis are more likely to flare more often when off meds. Until a cure is found, we work for remission with minimal flares of diease. ...Read moreSee 2 more doctor answers
Immune dysfunction!: Jra (also called jia) for juvenille idiopathic arthritis is a disease of unknown etiology. There are many theories for why it happens, many believe there is a virus responsible. The damage to the joints, pain and stiffness is due to an inappropriate immune response which results in the immune system attacking tissues of the host (patient). Rheumatologists can provide appropriate DX and rx. ...Read moreSee 2 more doctor answers
Not technically: Jra, now called jia (juvenile idiopathic arthritis), has several forms which are different from adult rheumatoid arthritis (ra). One form of jia has the same characteristics as adult RA with many joints involved and a positive rheumatoid factor on blood testing. This may persist into adulthood. Some doctors believe this is simply the adult RA starting in childhood. ...Read moreSee 1 more doctor answer
See a doctor: As always, the wisest course of action is to see your physician. He/she may refer you to a rheumatologist that will take a history, examine you and perform a number of tests, including blood work and possible x-rays. Based on this information, the rheumatologist will confirm the diagnosis and review treatment options. ...Read moreSee 1 more doctor answer
What are the statistics of having to use crutches or a wheelchair because of juvenile rheumatoid arthritis ?
Numbers are changing: No accurate statistics exist due to the dramatic improvement in outcomes of treatment in this condition. In the past, many children ended in a debilitated condition. Modern drugs such as the biological response modifiers (enbrel, humira, etc.) have kept people out of wheelchairs and leading much better lives. ...Read moreSee 1 more doctor answer
Yes, highly likely: There is no way to "outgrow" jra / jia. It can only be put into remission for periods of time from weeks to years, depending on what type of juvenile arthritis it is and how many joints were involved at the time of diagnosis.Kids with more active joints at diagnosis are more likely to flare more often when off meds. Until a cure is found, we work for remission with minimal flares of disease. ...Read moreSee 1 more doctor answer
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