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February 9, 2010
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Arthritis in Childhood
(Juvenile Arthritis, Juvenile Rheumatoid Arthritis)

Medical Editor: William C. Shiel Jr., MD, FACP, FACR

Arthritis in childhood? Isn't that only an old person's disease?

Most laypeople and many doctors fail to appreciate that arthritis in children exists. For the children affected and their families, education about the condition is essential. Many children suffer for months or years before the diagnosis of arthritis is thought of and proper treatment begun. But the problem doesn't end there. Children with arthritis frequently experience difficulty because their teachers and schoolmates don't understand that children can develop arthritis. They have no idea what to expect from the child with arthritis or about the nature of the illness. As a result, when the child is finally diagnosed with arthritis, the family may be told just to put them in a wheelchair because "nothing can be done." This is entirely wrong!

How common is arthritis in children?

Arthritis affects approximately one child in every 1,000 in a given year. Fortunately, most of these cases are mild. However, approximately one child in every 10,000 will have more severe arthritis that doesn't just go away. Many children have what is called an acute inflammatory arthritis following a viral or bacterial infection. This arthritis is often quite severe for a brief period but usually disappears within a few weeks or months. Juvenile rheumatoid arthritis (JRA) is the most common type of arthritis that persists for months or years at a time. Juvenile rheumatoid arthritis is also now called juvenile arthritis or juvenile arthritis of unknown cause (juvenile idiopathic arthritis).

What are the signs, symptoms, and treatment of the different forms of juvenile rheumatoid arthritis?

There are three main forms of juvenile rheumatoid arthritis (JRA), which are classified by how they begin. These forms are pauciarticular (less than four joints affected), polyarticular (four or more joints affected), and systemic-onset (inflamed joints with high fevers and rash).



Next: What are some other forms of arthritis which can affect children? »

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Juvenile Arthritis (Juvenile Rheumatoid Arthritis)

What is Kawasaki disease?

Kawasaki disease is an uncommon illness in children that is characterized by fever of at least five days' duration together with four of the following five findings:

  1. inflammation with reddening of the whites of the eyes (conjunctivitis)
  2. redness or swelling of the hands or feet; or generalized skin peeling
  3. rash
  4. lymph node swelling in the neck
  5. cracking inflamed lips or throat; or red "strawberry" tongue

What are the usual symptoms of Kawasaki disease?

The usual symptoms of Kawasaki disease include:

  • fever,
  • reddening of the eyes,
  • cracked and inflamed lips and mucous membranes of the mouth,
  • ulcerative gum disease (gingivitis),
  • swollen lymph nodes in the neck (cervical lymphadenopathy), and
  • a rash that is raised and bright red.
...

Read the Kawasaki Disease article »











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