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An Overview of Juvenile
Rheumatoid Arthritis
Juvenile rheumatoid arthritis
is a type of arthritis that
affects roughly 75,000 young
people in the United States. As
the name implies, juvenile
rheumatoid arthritis affects
children and young people. Most
diagnosed cases of juvenile
rheumatoid arthritis affect
young people between the ages
of six months and sixteen
years. Like rheumatoid
arthritis, juvenile rheumatoid
arthritis is also classified as
an immune deficiency syndrome.
Juvenile rheumatoid arthritis
represents an autoimmune
reaction wherein the body
produces antibodies that attack
its own joint tissues. Although
scientists have not determined
that precise cause of juvenile
rheumatoid arthritis, studies
point toward various causes.
The most popular hypothesis
speculates that juvenile
rheumatoid arthritis is caused
by the body's inability to
differentiate between the
body's own tissue and foreign
invaders, such as viruses and
bacteria. Ironically, juvenile
rheumatoid arthritis may
actually be the result of the
body's efforts to defend itself
against disease.
There are three primary forms
of juvenile rheumatoid
arthritis. They are
polyarticular, pauciaticular,
and systematic juvenile
rheumatoid arthritis.
Polyarticular juvenile
rheumatoid arthritis is
diagnosed when swelling is
present in at least five joints
throughout the body. Most of
the affected joints are those
described as weight bearing
joints, which include joints in
the hands, neck, hips, knees,
and ankles. Weight bearing
joints are those that receive
the brunt of the pressure and
weight that is endured by the
body. The second form of
juvenile rheumatoid arthritis
is described as pauciarticular.
Pauciarticular juvenile
rheumatoid arthritis is
described as a form of the
disease that tends to affect
four or less joints. Symptoms
of pauciarticular juvenile
rheumatoid arthritis include
selling, stiffness, discomfort
or severe pain around the
afflicted joints. Most often,
pauciarticular juvenile
rheumatoid arthritis affects
the joints of the wrist and
knee. One distinguishing
feature of pauciarticular
juvenile rheumatoid arthritis
is that it may also affect the
eyes. The iris may become
inflamed due to this form of
juvenile rheumatoid arthritis.
Indeed, ophthalmologists are
often among the first to
diagnose cases of many cases of
pauciarticular juvenile
rheumatoid arthritis because
their work allows them to
detect early signs of the
diseases. The third form of
juvenile rheumatoid arthritis
is described as systematic.
Systematic juvenile rheumatoid
arthritis refers to the fact
that the disease may sometimes
affect the patient's whole
body. Children afflicted with
systematic juvenile rheumatoid
arthritis may suffer from
fevers, rashes, and the
requisite feelings of joint
stiffness and overall pain and
discomfort. Other symptoms that
are specific to the systematic
form of juvenile rheumatoid
arthritis include the
enlargement of the lymph nodes
and the spleen.
The treatment of juvenile
rheumatoid arthritis usually
consists of an aggressive
treatment of NSAIDs class
drugs. These are non-steroid
anti-inflammatory drugs that
are commonly used to treat the
symptoms of juvenile rheumatoid
arthritis. Regular physical
activity is also prescribed and
is important in order for the
patient to retain their natural
range of motion and
flexibility, particularly in
the synovial joints. High
impact, weight bearing
exercises like tennis and
running, however, should be
avoided because these may cause
permanent joint damage.
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