STILL DISEASE (ARTRITIS REUMATOIDE JUVENIL)

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	STILL DISEASE (ARTRITIS REUMATOIDE JUVENIL)
	*STILL DISEASE (ARTRITIS REUMATOIDE JUVENIL)*

STILL DISEASE (ARTRITIS REUMATOIDE JUVENIL)

Disease of Still (youthful reumatoide Arthritis)

Chronic inflammatory disease of the conjuntivo weave - joints mainly that affect the children.

It affects the joints, mainly in the knees, elbows, ankles and neck.

It can also affect the kidneys, or the heart in the severe cases.

It appears between the 2 and 5 years of age.

It is four times more common in children.

Prognosis

Until the present, this disease considers incurable.

Nevertheless, in 75% to 80% of the cases it completely sends when arriving the puberty.

The attacks usually last weeks and appear and disappear during all the childhood.

In general, the symptoms can be controlled by means of treatment.

Causes

Probably autoinmune is a disease, where the immune system attacks its own weaves.

Often the first symptoms to emotional stress are associated.

Signs and symptoms

Pain, tumefacción and rigidity in the joints of the knee, toes, ankle, shoulder or neck.

Some children refuse to walk without being able to explain the reason.

The temperature raises more of 39º, generally in the evening.

The fever usually goes accompanied of eruptions and chills.

Little appetite, loss of weight.

Anemia.

Irritability, apathy.

Inflammation of the lymphatic glands.

Pain and ocular reddening.

Pain in the chest (if the disease is so serious that it affects the heart).

Factors of risk

Stress

Prevention

Until it has the present not been possible to come up.

Diagnosis and treatment

DIAGNOSIS:

File and physical examination by a doctor.

Analysis of blood, including autoinmunológicas determinations.

X-rayses of the affected joints.

Sometimes, x-rayses do not show to the changes until the stages outposts.

TREATMENT:

General Measures

Try that the boy rests on a hard mattress, that provides a good support to him.

Llévele to the ophtalmologist at least twice to the year for detection of uveitis.

Animate to the boy and to its surroundings to have a positive attitude.

Medication

His doctor can prescribe antiinflammatory aspirin or other drugs steroids not to reduce to the pain and the inflammation.

In severe cases it can be necessary to prescribe antiinflammatory corticoesteroideos or inmunosupresores drugs.

Activity

The boy must keep bed during the attacks, until the fever and the other symptoms send.

The use of inmovilizadoras rules can be necessary to protect the inflamed joint.

After an attack the boy will return gradually to his normal activities taking some rests throughout the day.

It does not have to get tired and it will sleep at least 10 to 12 hours every night.

The doctor will recommend exercises to him for the boy as soon as he is sufficiently recovered.

Diet

None in special

Warn its doctor if...

The following symptoms happen during the treatment: Pain in the chest.

Fever.

Loss of appetite.

They appear inexplicable new symptoms. The drugs used in the treatment can cause indirect effect.

Complications

Affection of other weaves, which causes

uveitis (ocular inflammation),

inflammation of bazo,

inflammation of the kidneys,

pericarditis or

inflammation of the cardiac muscle (miocarditis).

Permanent deformity.

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