Doctor insights on:
Juvenile Rheumatoid Arthritis Of The Jaw
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.See 1 more doctor answer
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
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.See 1 more doctor answer
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.See 1 more doctor answer
See details: At age 43 that would be unlikely. However, if you have an inflammatory arthritis, see a rheumatologist.
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.
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.See 1 more doctor answer
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.See 1 more doctor answer
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.See 1 more doctor answer
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!).
No: Some medications used to treat it can cause nausea.
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 effectivelySee 3 more doctor answers
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.See 1 more doctor answer
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.See 1 more doctor answer
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!See 1 more doctor answer
No: This is an autoimmune disease where your immune system attacks your joints. Sleeping in odd positions will not cause this.
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.
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