Juvenile rheumatoid arthritis (JRA) is a disease that
affects children age 16 and younger. It causes inflamed, swollen, stiff, and
often painful joints. JRA may affect one or more joints and can cause a
generalized illness.
The cause of JRA is unknown. Most experts
believe it may be caused by a combination of the following factors:
- An overly active
immune system that inappropriately attacks joint
tissues, as if they were a foreign substance. Viral or bacterial infections are
a suspected trigger of the autoimmune process.
- Genetic factors that make a child's immune system more
likely to react inappropriately
Symptoms of JRA include:
- Joint pain and swelling that may come and go but
are most often persistent.
- Joint stiffness in the
morning.
- Irritability, refusal to walk, or protection or guarding
of a joint. You might notice your child limping or avoiding the use of a
certain joint.
- Often unpredictable changes in symptoms, from
periods with no symptoms (remission) to flare-ups.
A child with JRA will likely be treated with a combination of
medicines and physical therapy. The goals of medical treatment are to reduce
your child's joint pain and to prevent disability.
For more
information, see the topic Juvenile Rheumatoid Arthritis.