Juvenile Rheumatoid Arthritis

Juvenile rheumatoid arthritis, or JRA, is a type of chronic arthritis that shows symptoms of joint pain and inflammation before the age of 16

. Often the symptoms come and go, but some types can linger longer.A virus or bacterium may cause the development of juvenile rheumatoid arthritis in children with certain genetic profiles. These genetic profiles are detected in some children with JRA and are considered genetic markers. However, not all children with the markers develop JRA, and children without the markers can develop the condition.When pain, stiffness and swelling occurs in five or fewer joints of the body, the condition is called Oligoarticular JRA. This type of the disease is usually noticed because the iris of the eye becomes inflamed. Polyarticular Arthritis is the second type, more often affecting girls and causing swelling and pain in the small joints of the hand as well as the neck, hips, knees, ankles and feet.

Depending on its severity, the disease is characterized by multiple signs and symptoms such as joint pain, swelling, and stiffness for more than six weeks straight. The child experiences prolonged bouts of high fever and chills which peaks with unexplained measles-like rashes. The experience can be very disheartening and debilitating, which is why pain management should be given importance in systemic JRA.However, juvenile rheumatoid arthritis too, affects different children differently, and not all children may experience all these symptoms. Even the degree of severity of a particular symptom may vary from children to children. Even in the case of the same child, the symptoms may vary from one day to another.

Oligoarthritis is the first type of juvenile rheumatoid arthritis and generally affects the knees, ankles and wrist joints causing pain, swelling and stiffness. It can also affect the eye causing inflammation. Children with this type of arthritis are affected more in girls than boys. However, children can outgrow it by adulthood but then it may spread to other joints in other children.

by: roger jakson

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