One of the most difficult diseases to diagnose in children is juvenile rheumatoid arthritis (JRA), the most common cause of arthritis in children. This is because there are numerous childhood ailments that must first be discounted.
The juvenile form of RA is quite different from the adult form. It can be very debilitating in children, causing fatigue, weakness, and severe pain in the joints. The clinical presentation can be anything from inability to play with other children to doing poorly in school. When suspicious of something, the pediatrician can get the appropriate X-rays or laboratory tests to make the diagnosis.
In children, the disease really becomes a collection of signs aim symptoms of other diseases, some of them quite scary until the diagnosis is solid. For example, the child can present with pauciarticular arthritis (the most common form), which means very few joints are affected, as compared to the systemic form (the least common form), where many joints are involved, along with other systemic symptoms such as fever. The joints must be affected symmetrically-on both sides simultaneously-as is the case in adults. Finally, there is the polyarticular form of arthritis (occurring in about half of the children with the disease).
Erosions occur, and their manifestations are far more serious in children, since their bones are still in development. For example, the development of the jaw can be stunted due to inflammation, causing a small lower jaw, a condition called micrognathia. Often a limb’s growth may remain stunted as the child grows older. One of the most serious complications of JRA is overall stunted growth.
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JUVENILE RHEUMATOID ARTHRITIS: DEFINITION AND SYMPTOMS One of the most difficult diseases to diagnose in children is juvenile rheumatoid arthritis (JRA), the most common cause of arthritis in children. This is because there are numerous childhood ailments that must first be discounted. The juvenile form of RA is quite different from the adult form. It can be very debilitating in children, causing fatigue, weakness, and severe pain in the joints. The clinical presentation can be anything from inability to play with other children to doing poorly in school. When suspicious of something, the pediatrician can get the appropriate X-rays or laboratory tests to make the diagnosis.In children, the disease really becomes a collection of signs aim symptoms of other diseases, some of them quite scary until the diagnosis is solid. For example, the child can present with pauciarticular arthritis (the most common form), which means very few joints are affected, as compared to the systemic form (the least common form), where many joints are involved, along with other systemic symptoms such as fever. The joints must be affected symmetrically-on both sides simultaneously-as is the case in adults. Finally, there is the polyarticular form of arthritis (occurring in about half of the children with the disease).Erosions occur, and their manifestations are far more serious in children, since their bones are still in development. For example, the development of the jaw can be stunted due to inflammation, causing a small lower jaw, a condition called micrognathia. Often a limb’s growth may remain stunted as the child grows older. One of the most serious complications of JRA is overall stunted growth.*18/141/5*