Juvenile Idiopathic Arthritis
Knee Arthritis Fluid-removed
Knee Arthritis Fluid-removed
Stunted growth
Stunted growth

Juvenile Idiopathic Arthritis is a group of autoimmune diseases characterized by chronic joint swelling. Clinical diagnosis depends upon presence of joint swelling, number of joints involved and other associated generalized features such as redness of eyes, anemia and fever.

Growing ends of long bones are situated near large joints. Involvement of large joints in inflammatory arthritis destroys these growing ends and retards growth if proper and timely treatment is unavailable. These children get socially isolated due to under-development and have a lower health status. Early recognition of arthritis is extremely important for therapy to be successful. Management consists of high quality patient and family disease education, aggressive drug therapy and appropriate physical interventions. Drug treatment in childhood arthritis is similar to that in adults. Most patients are managed as outpatients by a multidisciplinary team led by a pediatric rheumatologist. Compliance to drugs can be a problem especially in adolescents. Caring and educated parents and family members are essential for proper management of these children. Most children will improve on therapy. Around 30% cases do not respond adequately and are at risk of developing lifetime disability. Use of costly new biologic drugs must be considered in such cases. These latest therapies have dramatically improved prognosis of childhood arthritis in recent years.

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