Pauciarticular, polyarticular and systemic are the three major subtypes of J I A aka juvenile rheumatoid arthritis. J I A and juvenile rheumatoid arthritis are all the same but same, but scientists refer J I A as a replacement of the term juvenile rheumatoid arthritis. Some consider “idiopathic and chronic” are the most suited terms that fit clinically. Medical subject heading MeSH normally refer juvenile rheumatoid arthritis as the main entry, chronic and idiopathic are alternative entries. Juvenile idiopathic arthritis is an auto-immune disorder which primarily causes inflammation in synovial joints. Physicians find prognosis or the main and certain outcome of a disease hard to diagnose. As symptoms in juvenile rheumatoid arthritis can be very misleading and might also relate with other common diseases. For the quick and prompt diagnosis doctors apply clinical treatment as a undifferentiated arthritis.
PAUCIARTICULAR JRA: Oligo in literally terms means very few. Pauciarticular and oligoarticular are used for two different terminologies that is J I A and J R F respectively. Juvenile rheumatoid arthritis usually affects large joints but in some cases it is found that small joints are also gets affected. More than 50% of the child does get affected with pauciarticular juvenile rheumatoid arthritis. Overall indications and response to medical therapy is quite good. In case of persistan oligo category, 65 % of the cases can attain remission. Pauciarticular J R A affects visual organ, if complication worsen further it can lead to uveits.
POLYARTICULAR JRA: The subtype itself suggesting by its name, judging the prefix poly, one can understand a direct numerical relation with five. From the onset it affects more than five joints within the first six months. Neck and jaws do get affected along with other smaller joints. As in case of most arthritis girls gets affected more than the boys. Hips, shoulder and other large joints lose its workability enormously. After the diagnosis if rheumatoid factor found positive, it may increase the risk of prolonged and erosine kind of arthritis. If R F factor indicates negative, there are successful cases with almost attaining 50 % of remission after some years under treatment. Comparatively less changes of uveitis is seen in the polyarticular J R A.
With all these three subtypes of J R A, some of the most common symptoms of juvenile rheumatoid arthritis are:
- Kids can be seen hopping and limping with certain degree of discomfort. One can also notice re-strained physical movements.
- Big and small joints can swell at times, resulting in pain and stiffness. Morning stiffness like feature can be observed, mostly in the early hours of the day or after an elongated ideal break.
- Inflamed eye can be a very common symptom in pauciarticular J R A.
Discomfort or pain can be sign of J R A, parents need to devote extra cautiousness. Regular consultation with physician can be helpful in many ways. There is a good chance of remission in both the pauciarticular and polyarticular juvenile arthritis disease. Early diagnosis with prompt and ontime medication, kids can get their playful future back.