Academic journal article International Journal of Child Health and Human Development

Long Term Management of Children with Juvenile Inflammatory Arthritis

Academic journal article International Journal of Child Health and Human Development

Long Term Management of Children with Juvenile Inflammatory Arthritis

Article excerpt

Juvenile idiopathic arthritis (JIA) is the most common chronic rheumatic disease of childhood. It affects approximately 1 in 1,000 children under the age of 16 years. JIA is not a single disease but rather a clinically heterogeneous group of disorders characterized by chronic inflammatory arthritis in children.

In the past, there was the notion that JIA bums out at adulthood and most children can expect to be free of the disease, but recent studies show almost 40% patients have active disease after 20 years of follow-up.

A majority of patients with JIA had a favorable outcome, but it may cause significant morbidity as reflected by chronic or recurrent pain and physical disability and in some cases limit their ability to complete daily physical tasks and participate in school and social activities.

Impaired growth, extra articular complications, mainly impaired vision (eg uveitis and glaucoma) are observed and joint deformities and loss necessitating joint replacement at a young age are rare. …

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