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Doctor insights on: Juvenile Rheumatoid Arthritis Of The Jaw

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How is juvenile rheumatoid arthritis diagnosed?

How is juvenile rheumatoid arthritis diagnosed?

Clinical criteria: Ra (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. Pain and stiffness may limit activity. Appropriate treatment can vastly benefit the patient, and a rheumatologist can be your best friend. Labs to rule out other causes are undertaken. Clinical criteria make the diagnosis. ...Read more

Dr. Thomas Namey
2,422 Doctors shared insights

Arthritis (Definition)

A condition where there 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 does juvenile rheumatoid arthritis impair you?

How does juvenile rheumatoid arthritis impair you?

Varied ways: There are many types of juvenile arthritis. It can attack the joints with pain and swelling as most likely. There is a form that affects the spine with pain and stiffness. It may also affect the eyes with inflammation. A more severe form can also cause damage to internal organs including the spleen and affect the blood counts significantly. Need careful medical attention. ...Read more

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What helps alleviate juvenile rheumatoid arthritis?

What helps alleviate juvenile rheumatoid arthritis?

Alleviating Sx?: Alleviating sx? Not the goal. Alleviating inflammation is the goal. Symptom relief is secondary in importance! The drugs used are similar for adults, except the doses are much lower and size-based. Jra no longer exist. It is juvenile idiopathic arthritis. Virtually all children should be remitted with currently available medication. ...Read more

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How to tell if I have juvenile rheumatoid arthritis?

How to tell if I have juvenile rheumatoid arthritis?

See details: At age 43 that would be unlikely. However, if you have an inflammatory arthritis, see a rheumatologist. ...Read more

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What are the symptoms of juvenile rheumatoid arthritis?

What are the symptoms of juvenile rheumatoid arthritis?

Most not JRA!: Children rarely get ccp and rf positive true ra, usually before mid teen years. We now call it "juvenile idiopathic arthritis, " or jia, in recognition that it is usually different. Apart from joint inflammation, fever and rash are much more common. Treatment will vary depending on the age and size of the child. ...Read more

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Is it possible to outgrow juvenile rheumatoid arthritis?

Is it possible to outgrow juvenile rheumatoid arthritis?

No: 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 more

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Could you have a combination of juvenile rheumatoid arthritis?

Could you have a combination of juvenile rheumatoid arthritis?

Yes: 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). Symptoms are variable, appropriate DX and rx critical. ...Read more

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What are the symptoms and signs of juvenile rheumatoid arthritis?

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 more

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How to determine juvenile rheumatoid arthritis is destroying you?

How to determine juvenile rheumatoid arthritis is destroying you?

I've never seen it!: Juvenile arthritis can be successfully managed with all of the new drugs available. Complications can always occur, but the condition which could be fatal is virtually no longer that. Make sure you are under the care of a rheumatologist. (i have never heard of jra put in such onerous terms!). ...Read more

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Is the juvenile rheumatoid arthritis rash itchy?

Usually not: However, some older patients report pruritus (itching). ...Read more

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What kind of doctor do I see for juvenile rheumatoid arthritis?

What kind of doctor do I see for juvenile rheumatoid arthritis?

Get proper treatment: Be sure to see a board certified pediatric rheumatologist. General pediatricians and family medicine docs are not familiar or comfortable with using weekly low dose Methotrexate and TNF inhibitors that are needed to control 99% of kids with correctly diagnosed JIA/JRA. It's worth traveling some distance to see a pediatric rheumatologist since most adult rheumatologists do not treat it as effectively ...Read more

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Why shouldn't aspirin be given in juvenile rheumatoid arthritis?

Why shouldn't aspirin be given in juvenile rheumatoid arthritis?

Reye's syndrome: Aspirin is not recommended for any children due to its association with reye's syndrome that can lead to liver failure. Plenty of other meds work well and are safe if given in the recommended doses such as tylenol (acetaminophen) or ibuprofen. Naproxen is a good medication for temporary relief but it does not put the disease into remission. Effective treatment is weekly low dose Methotrexate and a tnf inhibitor. ...Read more

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What is abnormal in juvenile rheumatoid arthritis in blood work?

What is abnormal in juvenile rheumatoid arthritis in blood work?

Many thinks: Erythrocyte sedimentation rate.High
c-reactive protein. High
anti-nuclear antibody.High
rheumatoid factor cold be present
cyclic citrullinated peptide (ccp). Like the rheumatoid factor, the ccp is another antibody that may be found in the blood of adults with rheumatoid arthritis. ...Read more

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What are alternative treatments for juvenile rheumatoid arthritis?

What are alternative treatments for juvenile rheumatoid arthritis?

Caution tetracyline: In children tetracycline can stain the bone. We are fortunate that we can use most of the medications we use in adults in children, but some are not approved for children. We can use Methotrexate and some of the biologics are approved for treatment of jia children such as Etanercept and adalimumab. Iv Infliximab is approved for childhood ibd, IV tocilizumab and Abatacept for jia. Others not yet. ...Read more

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Does systemic juvenile rheumatoid arthritis sometimes cause you to vomit?

If with fever.: Some cases of jia (it is not RA in a child. We now call it juvenile idiopathic arthritis. In some with a variant called "still's disease, " hectic high fevers can occur. Vomiting is not uncommon with high fevers. Otherwise, if your child is not having fevers, it could be medication. Other issues are then probably present! ...Read more

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What are alternative treatments for juvenile rheumatoid arthritis besides drugs?

What are alternative treatments for juvenile rheumatoid arthritis besides drugs?

Exercise: You will need medications, but exercise is important pain controller. The cdc has a campaign that says exercise the arthritis pain reliever. We can not emphasize this enough. ...Read more

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Does a child's sleeping position have any role in causing juvenile rheumatoid arthritis?

No: This is an autoimmune disease where your immune system attacks your joints. Sleeping in odd positions will not cause this. ...Read more

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Is there a direct correlation between bad sleeping habits and juvenile rheumatoid arthritis?

Is there a direct correlation between bad sleeping habits and juvenile rheumatoid arthritis?

None!: Keep in mind that pain can interfere with sleep. However, no liink exists between sleep habits and developing juvenile rheumatoid arthritis, which is really not rheumatoid arthritis. ...Read more

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Can you tell me alternative treatments for juvenile rheumatoid arthritis besides medication?

Can you tell me alternative treatments for juvenile rheumatoid arthritis besides medication?

There is none: Unless joint inflammation is controlled one runs a significant risk of permanent damage and disability. There are no alternatives that will prevent this damage other than appropriate medication. ...Read more

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What questions should I ask the doctor for a new diagnosis of juvenile rheumatoid arthritis?

What questions should I ask the doctor for a new diagnosis of juvenile rheumatoid arthritis?

How old?: Rheumatoid arthritis is almost never seen before puberty, and rarely before 18. We now call jra "juveniule idiopathic arthritis, " because is not the same animal, even though drugs used may be similar! Knowing if the patient is ccp antibody positive is the current best indicator that it is ra. I have not seen this in a child under 13. Treatment options need to be as benign as possible. It c. ...Read more

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What are the symptoms of Hypothyroidism? I've had a history of JRA- Juvenile Rheumatoid Arthritis.

What are the symptoms of Hypothyroidism? I've had a history of JRA- Juvenile Rheumatoid Arthritis.

Hypothyroid: The typical symptoms are constipation, poor hair and nail growth, fatigue and temperature imbalance (intolerant of the cold) but you should ask your doctor to measure your blood ...Read more

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Could you tell me what are alternative treatments for juvenile rheumatoid arthritis besides medication?

Could you tell me what are alternative treatments for juvenile rheumatoid arthritis besides medication?

Let the buyer beware: I don't know a lot about alternative treatments for jra, but I see lots of patients that missed their opportunity to prevent permanent joint damage when very effective medications are available. That's very sad, especially for young patients. ...Read more

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Can it be possible to have juvenile rheumatoid arthritis as a kid but not have it show up in blood work as an adult?

Yes, no blood test..: There is no blood test for juvenile rheumatoid/idiopathic arthritis. Kids can have all completely normal labs and still have very active disease. It is a clinical diagnosis based on inflammation of the synovial cells lining the joints that can be seen as joint swelling much of the time on exam. Kids never "outgrow" jia/jra. They have it for life, even as adults with flares of arthritis (not ra). ...Read more

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My illeal biopsy showed chronic enteritis with follicular hyperlapsia. I have juvenile rheumatoid arthritis too. Does it relate?

My illeal biopsy showed chronic enteritis with follicular hyperlapsia. I have juvenile rheumatoid arthritis too. Does it relate?

Could be!: Wondering if you actually have crohn's and your jra is actually enteropathic arthropathy. A call for the pathologist and rheumatologist to make! Be sure the pathologist didn't overlook whipple's as well -- it's happened. ...Read more

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Can systemic inflammatory response syndrome in a 5 year old with juvenile rheumatoid arthritis cause macrophage activation syndrome?

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 more

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My daughter was recently diagnosed with juvenile rheumatoid arthritis. She has always played basketball and wants to try to continue. Suggestions?

My daughter was recently diagnosed with juvenile rheumatoid arthritis. She has always played basketball and wants to try to continue. Suggestions?

I think she could: I think she could do that and continue the treatment, I add link for you please check it out. Good luck for her and thank you. ...Read more

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What is juvenile rheumatoid arthritis?

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 more

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What causes juvenile rheumatoid arthritis?

Autoimmune: Juvenile rheumatoid arthritis occurs when the immune system gets confused and starts attacking the joints instead of fighting intruders like bacteria and viruses. Genetic factors play a role in risk for developing autoimmune diseases. Exposure to certain viruses may play a role as well. ...Read more

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Juvenile rheumatoid arthritis criteria pls?

Joint swelling >6wks: Jia/jra - general guide
1. Age of onset <16 yr
2. Arthritis (swelling or excess joint fluid), or 2 or more of these: less than full range of motion, tenderness or pain on motion, & increased warmth in at least 1 joint
3.Above signs (seen by doc)for > 6wks
4.Type seen in first 6 mo:
a.Polyarthritis: ≥5 inflamed joints
b.Oligoarthritis: 4 or fewer joints
c.Systemic -fever, arthritis
5.No other cause. ...Read more

Dr. Andrew Berry
40 Doctors shared insights

Rheumatism (Definition)

"rheumatism" is an older term, not used much today. Most people are referring to pain and swelling in the joints when they use this term. People may mean something different when they use this term in contrast to when they refer ...Read more


Dr. Robert Lowe
1,555 Doctors shared insights

Painful Joints (Definition)

That term is not really a specific diagnosis, but rather somewhat of a general term. The medical term is arthralgias, which implies pain in multiple joint possibly coming from a single cause. Don't hesitate to be seen and evaluated for ...Read more