Pauciarticular juvenile rheumatoid arthritis (J R A), is a disease in which pauciarticular means a condition where more than one joint but less than five joints are involved. Juvenile means children below the age of 16. And rheumatoid arthritis is an autoimmune, chronic disease where the immune system of a patient attacks their body cells. The involvement of more than one joints take place after few months of illness. Pauciarticular juvenile rheumatoid arthritis is generally found in young girls and the symptoms may show swollen ankle or knee without any sort of previous injury. The girl may not find any sort of pain in the affected area but can be somehow it can be analyzed by the awkward walking of the child. Parents are even confused as this disease does not show any stiffness of joints in the morning. The symptoms of this disease are mild and are prescribed with low dosage of non steroidal anti inflammatory drugs (N S A I D s). Analyzing the symptoms one must be wondering that it should not be a matter of concern. But if not treated in time it may cause your child with two serious problems in the future. A child suffering from pauciarticular juvenile rheumatoid arthritis may cause inflammation to the eyes of your child (a condition called iridocyclitis). Though this inflammation is painless but if left untreated may cause total damage or even blindness to your child. In the inception of this condition the symptoms are not visible by naked eyes except by an instrument called slit lamp used by the ophthalmologist to detect the symptom. As children are more prone to have an eye problem in their tender age, it is advised to the parents to have regular examination of the eyes of their child.
The other problem that a child having pauciarticular juvenile rheumatoid arthritis suffers is that their legs get affected. The bones of the legs grow at different pace leaving the child with two different sizes of their legs. The difference in the sizes of the legs forces your child to limp while walking. As the condition goes on it damages the bones of knee and the bones of hip region respectively leading the child into premature arthritis. So its early diagnosis becomes mandatory and then comes its proper treatment. Doctors generally try to stop the inflammation by prescribing the conventional drugs and steroids but these drugs and steroids have some fatal side effect on the child. The most suitable option of treatment for your child is some sort of therapy. There are several therapies that prevent your child’s leg from getting crippled. If a child has been already affected then there is some solution like using high sole shoes on the shorter leg to prevent the limping of your child and avoid further erosion of the joints. If your child has attained the age of adult hood then his or her problem can be sorted out by having a very simple operation of the joints that is total replacement of the affected joint.