Doctor insights on:
Ra Vs Jra
RA in child is JIA: Ra pattern in a child is one of the jia patterns of systemic inflammatory poly arthritis. Age makes it jia. Jra term has been changed to jia - juvenile idiopathic poly arthritis to encompass the many patterns that can occur. Jia can occur through age 15, most commonly ages 7 to 12. ...Read moreSee 1 more doctor answer
My RA started as a jra.. Am i at a higher risk than other in dying early from RA or from the side effects of meds ! ?
What is average standard dose of methotrexate for a adult with RA and child with jra? What is highest dose can u use when treating jra?
Son had toxic synovitis of r hip in august. Now has similar symptoms in l hip. Could it be toxic synovitis again? Juvenile RA was not ruled out. Jra?
Possible: Difficult without a physical exam and further testing. It could be toxic synovitis along with other possibilities including, but not limited to, a fracture, jra, lupus, systemic infection, bone infection, dislocation, etc. Labs, xrays, and physical may be warranted depending on what the doctor sees. ...Read more
5yr/0 has ankle/ feet cracking/poping every morning when he walks and have family history of ra/jra should I be concerned he may have it?
My daughter is 14 suffering from joint pain. She has positive ana..Negatve ra...No rash...Doctors wont diagnose with jra because lack of warmth and swelling to joints. What else could be going on?
Joint pain only: There is no blood test that can diagnose juvenile idiopathic arthritis. A positive ANA means nothing for the diagnosis of jia. 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). Kids with suspected jia should be evaluated by a pediatric rheumatologist. ...Read moreSee 1 more doctor answer
How does systemic juvenile rheumatoid arthritis affect someone during adulthood if it is different from adult ra?
Autoinflammatory dis: Systemic jia/jra is actually an autoinflammatory disease rather than an autoimmune disease and is more similar to periodic fever syndromes than RA or jra. There's a problem with the innate immune system's triggering and control of inflammation, not a problem with mistakenly recognizing one's own proteins as foreign (like a virus). As such, Anakinra and steroids are most effective long term meds. ...Read moreSee 1 more doctor answer