Juvenile Rheumatoid Arthritis
Alternate Names : JRA, Still's Disease
What are the treatments for the disease?
The main goal of treatment is to reduce inflammation and prevent damage to the joints. Medicines used to treat JRA include:
corticosteroids, such as prednisone, that suppress the immune response
disease-modifying antirheumatic medicines, such as methotrexate
nonsteroidal anti-inflammatory medicines, or NSAIDs, such as ibuprofen, naproxen, diclofenac, and tolmetin
Physical therapy can be used to maintain joint function and mobility. Occupational therapy can teach the child to use adaptive equipment or methods for activities of daily living. Rarely, surgery is needed to correct severe joint deformities.
What are the side effects of the treatments?
The medicines used to treat JRA may cause stomach upset, allergic reactions, and increased risk for infection. Surgery can cause bleeding, infection, and allergic reaction to anesthesia.
What happens after treatment for the disease?
The course that JRA takes is hard to predict. It may go away for long periods of time or permanently. If the disease goes away, no further treatment is usually required. Some children continue to have the disease as adults and require lifelong treatment. When the child's symptoms are under control, an exercise program tailored to fit his or her disabilities is important. Sports for children with disabilities can promote social interaction with exercise.
How is the disease monitored?
The child will have regular visits with the healthcare provider. Blood tests, joint X-rays, and eye exams may be done regularly. Any new or worsening symptoms should be reported to the healthcare provider.
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