Juvenile Arthritis (JA), a group of conditions related to Arthritis that often causes joint pain and inflammation, occurs in children 16 or younger. JA affects about 285,000 children in the United States, most commonly in the form of juvenile rheumatoid Arthritis (JRA).
What is juvenile rheumatoid Arthritis?
JRA is a type of Arthritis that causes joint inflammation and stiffness for more than six weeks in a child age 16 or younger. The inflammation causes redness, swelling, warmth and soreness in the joints. However, many children who have JRA do not complain of joint pain. Any joint may be affected, and inflammation may limit the child's ability to move the joint.
The main difference is that many children with JRA outgrow the illness, while adults usually have lifelong symptoms. Studies estimate that by adulthood, JRA symptoms disappear in more than half of all affected children. Also, unlike rheumatoid Arthritis in an adult, JRA may affect bone development as well as the child's growth.
There are three types of JRA :
Pauciarticular
Pronunciation: paw-see-are-TICK-you-lar
Four or fewer joints are affected. Typically, large joints (such as the knees) are involved. Eye disease affects about 20 percent to 30 percent of children with pauciarticular JRA, and regular examinations by an ophthalmologist are needed.
Polyarticular
Pronunciation: polly-are-TICK-you-lar
Five or more joints are affected. The small joints, such as those in the hands and feet, are most commonly involved, but the disease also may affect large joints.
Systemic
Pronunciation: sis-TEH-mick
Both joints and other body organs -- such as the heart, liver, spleen and lymph nodes -- are affected; fever and rash may be present. This type of JRA is sometimes called Still's disease. |