Juvenile Rheumatoid Arthritis (JRA) is a common form of persistent arthritis found in children. Girls are more prone to this disease than the boys. It is very painful and unbearable for the children, so an early diagnosis becomes vital for efficient treatment. Juvenile Rheumatoid Arthritis can be regarded as an ailment. There are several symptoms in patients ranging from six months to sixteen years of age. Their diagnosis is very important especially in the early stage as it can conclude in several complications like infection and some types of cancer.
Whenever a child feels pain, inflammation, or stiffness in several joints, he may have a chance of having JRA. The particular type of ailment is termed as Oligoarticular Juvenile Rheumatoid Arthritis Diagnosis (JRAD). This disease can be observed in a child when his eyes become inflamed. There are some other types of JRA in children like Polyarticular Arthritis, Systematic JRA etc. Polyarticular Arthritis more often affects girls leading them in inflammation and pain in joints like wrists, hips, knees, elbows, neck and feet. Systematic Arthritis affects not only the body joints but also affects the children with pain, swelling, and stiffness in addition to rashes and fever.
If any of the above symptoms of JRAD, is registered by your kids, then it must be responded immediately to a physician. They may go through some medical tests like X-rays, blood checkups, and checkup of the bone marrow or even for some other antibodies in the blood which may be the cause of JRA. As soon as the symptoms are diagnosed, an effective treatment is to be followed immediately. The treatment may include some medicines like nonsteroidal anti-inflammatory drugs (NAIDs), disease modifying antirheumatic drugs (DMARDs) and injections of corticosteroid, which is directly pushed into the joints to relieve pain and swelling. Some physical exercises, therapies and a diet that contains calcium are also found helpful in the treatment of JRA.
Blood tests and X-rays
Some X-rays of fractures, tumors, congenital defects and infections may be taken to exclude this other conditions. This may also be used after the diagnosis, to see any bone development or joint damage.
Some blood tests in case of JRA may include Erythrocyte Sedimentation Rate (ESR), Rheumatoid Factor, Cyclic Citrullinated Peptide (CCP), Anti-nuclear Antibody, and C – reactive protein. Erythrocyte Sedimentation Rate (ESR), is the speed by which red blood cells settles at the lower side of a tube of blood. An increase in rate indicates inflammation. Measuring ESR can determine the degree of inflammation and help in classifying the type of JRA. C – reactive protein also measures the inflammation but in a different way. Rheumatoid blood test is a test of antibody which is commonly found in adults who have RA. Anti-nuclear antibodies are proteins which are commonly produced by immune system of a patient, which is certainly recognized as autoimmune disease, like arthritis. Many children suffering from JRA, their blood test may not show this abnormality.
In children joint pain can be from many other causes, so diagnosis of JRA is very difficult on that part. Most physicians undergo several blood tests as stated above and X-rays in order to confirm the diagnosis as because there is no such single test that confirms JRA.