Idiopathic Arthritis

Juvenile idiopathic arthritis (JIA), previously known as juvenile rheumatoid arthritis (JRA), is an autoinflammatory disease that begins before the age of 16. (2) The cause behind JIA is currently unknown. Symptoms of JIA are a fever (a rash usually accompanying the fever as well), enlarged spleen, presence of arthritis, and also always a sign of systemic inflammation

The rash gets it's name due to the appearance. It is a red rash in a circular shape with a round red mark in the middle.

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Rheumatoid joint pain can be hard to analyze in its initial stages on the grounds that the early signs and side effects copy those of numerous different sicknesses. There is nobody blood test or physical finding to affirm the conclusion.

The patient is 67-year-old gentleman who was discharged from a nursing home 2 days ago after 3 months stay. The patient had a right ruptured quadriceps tendon which was repaired in a Morris Town hospital and he was in the Atrium of Wayne for rehabilitation and discharged home. Since being discharged home he has presented himself three separate times to the emergency room, the final one being on 6/10 here at St. Joseph's where he was admitted. He presented the previous day and he was discharged. The patient presented because his right leg was collapsing while using a walker. CT done in the ED of his right knee shows that he has severe tricompartmental arthritis and loose bones. The patient is in severe pain and he is unable to ambulate. The patient lives alone in his own home. The decision was made that the safest thing was for him to be admitted acutely inpatient to try to sort through the issues that have led up to this point. No arrangements have been made for him to have any outpatient therapy. or any from the Atrium at Wayne. His medical history is significant for having previous cardiac caths. He developed MRSA infection after a quadriceps rupture in Morristown. He has allergic reactions to Metformin (not quite sure what the reaction is). As previously stated he lives alone in a home in Totowa. Physical therapy evaluation reveals the patient is not safe ambulating with a walker and obviously needs intervention. He will need some type of assistive help in the home or long-term care. After much discussion the Atrium agreed to take the patient back while we work through the issues of how he could be cared for in a

There has been multiple treatments discovered for JIA. Some of these include taking a medication, doing therapy, exercising, having an injection, or having surgery. Doctors have also found a variety of types of Juvenile Idiopathic Arthritis. One of them is Systemic JIA, Oligoarthritis, Psoriatic arthritis is another type of JIA, Enthesitis related arthritis. Undifferentiated arthritis, Polyarticular arthritis, Rheumatoid factor plus and Rheumatoid factor negative.

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Juvenile Idiopathic Arthritis is a disease in children 16 years or younger that causes inflamed joints. (Haines, 2007) JIA includes 2 or more of these symptoms; ability of motion is impaired, motion causing pain or tenderness, or increased warmth in a joint and occurring in more than one joint for 6 weeks or more. (Espinosa, M., et al., 2012) In the study of Anakinra effects on JIA, the category Systemic JIA is used in the trial. (Nigrovic, P. A., et al., 2011) Many different treatments are used to treat JIA and some arguments have broken out as to

Reactive arthritis is an autoimmune disorder in a group of spondyloarthropathies (SpAs), developing after bacterial infections. In the US, Yersinia, Salmonella, Shigella, or Campylobacter spp. are common for enteric infections with the incidence of 1%-4%, approximately, and equally found in males and females. On the other hand, Chlamydia trachomatis is the most common in genitourinary infections and more commonly found in males than females especially young men at 30s. Yet, the epidemiology of ReA can be indicated only by estimation due to the lack of specific diagnostic criteria and definition of the disease. The incidence and prevalence differ from time to time depend on genetic differences, lifestyles, and environments between populations.

Juvenile idiopathic arthritis (JIA) is the most common chronic rheumatologic disease in children and is one of the most common chronic diseases of childhood. The onset is either insidious or abrupt, and common symptoms include morning stiffness, gelling phenomenon, daytime arthralgias, and difficulty in the use of the patients’ joints. Spiking fevers occurring once or twice each day at about the same time of day, evanescent rash on the trunk and extremities, and psoriasis are other findings seen in JIA.

Juvenile idiopathic arthritis (JIA) is the most common pediatric rheumatic disease and may result in significant pain and long term morbidity, and disability with persistent arthritis into adulthood . Prior to the mid 1990s, treatment involved nonspecific agents, many with signifcant adverse effects. In the new era of target specific biologic therapy, it is now possible to better tailor therapy for patients with JIA. Experience with these agents in Indian patients is scanty. This paper is a description of the clinical outcomes and challenges in way of treatment of JIA with biological agent at a single tertiary care center in north India. In developing countries like India, high cost of these novel molecules is the main obstacle in the path

Juvenile arthritis, otherwise referred to as pediatric rheumatic disease, is a blanket term to describe many different inflammatory and autoimmune conditions that cause joint pain and swelling. Chronic pain, such as this, can dramatically affect the way a child develops.

When people are exposed to it, there is a 30% to 60% chance that the infection will remain asymptomatic and the individual won’t show a body rash or experience a fever (Baron et al. 1990). The individuals that do express the manifestation of symptoms may show overlapping symptoms that could be mistaken for at least 30 different diseases, however, the main characteristic remains that the red/pink rash starts in the face, spreads to the upper torso and descends and it goes again in the order it came (Baron et al. 1990). Also, the rash lasts 3 days. It is reported that as the infection happens in an older age, the symptoms increase in severity compared to the pathogenicity of an infected child. The person that comes in contact and acquires the infection will experience intrinsic incubation of fourteen to twenty-one days until the infection becomes symptomatic or asymptomatic. Some symptoms that manifest are low-grade fever that usually remains below 101 degrees F, upper respiratory symptoms that are like the flu, like runny nose, allergies, lymphadenopathy, which is the swelling of the lymph nodes beneath the cranium around the neck and the posterior cervical and postauricular

Usually when the word arthritis is brought up, most people would immediately think of older adult men and woman. What they do not know is that kids can have arthritis too. 294,000 American children under the age of 18 have arthritis (C ). Some terms that describe a child with arthritis include juvenile chronic arthritis, juvenile rheumatoid arthritis and juvenile idiopathic arthritis. Juvenile rheumatoid arthritis is the most commonly used term in the United States. Juvenile rheumatoid arthritis is caused by a malfunction in the immune system, causing the synovial membrane to be attacked and targeted as a predator of the human body. This causes inflammation and after a while, could potentially cause damage to

Juvenile idiopathic arthritis (JIA) is an autoimmune disorder characterized by arthritis in in one or more joints for at least six weeks (Prakken, Albani, Martini, 2011). JIA is a chronic condition consisting of swelling in any join in the body and is found in children age 16 years or younger. The peak age of onset is between 1-3 and 8-12 years old. The immune system attacks the body’s synovium, the joint lining, and this inflammation spreads to other parts of the joints.