Doctor insights on:
What Causes Hair Loss In Juvenile Rheumatoid Arthritis
Hair loss, otherwise known as alopecia, can be caused by different reasons, including damage to the hair shaft or follicles or fungal infections. There are two main types of alopecia. Alopecia areata occurs when the body's immune system attacks hair follicles and causes hair to fall out. Androgenetic (or androgenic) alopecia, on the other hand, is an inherited form of hair loss. With alopecia areata, hair can fall out in patches all over the body. With androgenetic alopecia, hair on the head first thins and then falls out. In men, this is called male pattern hair loss; in women, it is called ...Read more
What?: You did not finish the question, but there are many rheumatologic features and systemic features of juvenile rheumatoid arthritis, now called juvenile idiopathic arthritis, since most juvenile arthritis patients do not have ra! Ask again, so I can help. ...Read more
JRA: See a rheumatologist, so he can examine you and order the necessary blood work to determine your problem. ...Read more
No: Some medications used to treat it can cause nausea. ...Read more
What's the difference between rheumatoid arthritis and juvenile rheumatoid arthritis? Does rheumatoid arthritis cause CKD?
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
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
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
Get proper treatment: Be sure to see a board certified pediatric rheumatologist. There is no reason to suffer with this disease considering how highly effective the medications now available. 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 jra. Nsaids are not enough rx. ...Read more
Autoimmune: 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
Medication: Pediatric rheumatologists specialize in these issues and can prescribe medications or groups of medications to address the underlying pathology. ...Read more
Yes, but see doctor: All exercise is good for preserving joint motion. The danger would be if there were to be strong physical contact with a damaged joint that had lost range of motion. In juvenile rheumatoid arthritis, some joints become immobile and cannot bend normally. Also, the cervical spine should be examined for prior damage and the bone density should be assessed for osteoporosis. Needs doctor clearance. ...Read more
See below: He/she may experience a flare in his/her symptoms. Let the doctor know what's going on. ...Read more
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
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
See ophthalmologist: The major thing is to remain under the care of an ophtalmologist. You must continue with routine screenings because the eye inflammation associated with jia may be not apparent until irreversible damage has occurred. ...Read more
Medications for..: Medications for spondylitis are used successfully. Iritis or anterior uveitis is not a feature of rheumatoid arthritis. Jia has iritis as a major extra-articular feature. Topical steroids will help most patient. Other drugs used include Cyclosporine and tnf-alpha inhibitors. They do very well. ...Read more
Consider Birmingham: I don't know any of the pediatric rheumatologists in person who practice in Memphis or other places in Tennessee so I can't recommend them myself. It's quite a long drive to Birmingham, Alabama to Children's of Alabama (3hrs 47min) so it may not be possible for you to travel that far. However, I can guarantee your child will receive the best treatment anywhere in the U.S. if you see any of us 6 docs ...Read more
Regular exams: It is important that you see an ophthalmologist on a regular basis even if you have no ocular symptoms. Typically every six months. ...Read more
Unlikely: The onset at age 49 is unlikely. Since you do not mention your symptoms, there is no way to definitively answer your question. ...Read more
See below: There are treatment options. You need to discuss them with your rheumatologist. ...Read more
Unknown: We don't know yet.Get a more detailed answer ›
At age 34:
You wouldn't have jra unless the diagnosis was made at least 18 years ago. There are many causes of joint and tissue inflammation and pain : rheumatoid positive arthritis, rheum negative, lyme, lupus, fibromyalgia.
Diabetes, thyroid disease and others
see a physician. Start with an internist or family practitioner who can then evaluate you. ...Read more
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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