Children

This phenomenon, like rheumatoid arthritis, is manifested in children as a joint disease. It may occur due to the presence of an immune-inflammatory process. This disease, as a rule, affects the peripheral joints, but there are cases of damage and central.

The result of this disease is erosive-destructive transformation of the joints. Girls are prone to this type of arthritis much more often than boys. Symptoms of the onset of the disease can be either acute or subacute.

Symptoms of acute onset of the disease

In the case of an acute onset, as a rule, there is a fever, joint pain and often swelling of one or more joints, often symmetrical. However, the symmetry of the affected areas sometimes does not immediately become apparent and can be detected only after several days of illness. Also a characteristic symptom is the morning stiffness in the movements of the joints, which with the course of the day weaken.

Basically, the largest joints are affected - ankle, knee, wrist, but there are cases when the smaller joints of the legs and hands, such as interphalangeal or metatarsophalangeal, also suffer. Often children's arthritis can also do a lot of harm to the vertebral joints of the cervical department. In all cases, sharp pains, swelling are observed, in some cases, hyperemia of the skin around the joints can be observed. Body temperature increases with the course of the disease and can reach 39 ° C. At the same time, allergic rash appears on the skin of the limbs and trunk, lymph nodes, as well as the spleen and liver can grow. When performing a general blood test, anemia, neutrophilic leukocytosis, an increase in ESR up to 50-60 mm / h and many other negative manifestations can be detected.

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A more acute onset of the disease, as a rule, is inherent in the most severe forms of arthritis - joint articular or generalized articular. In such cases, there is usually a recurring course of the disease with a very unfavorable prognosis. This form of arthritis is most often observed in children in preschool or junior school age, but there are cases of its manifestation in adolescents.

Symptoms of subacute onset of

In case of subacute onset of the disease, less vivid symptomatology is observed. Children's rheumatoid arthritis begins with the lesion of one joint, usually an ankle or knee. There is a slight swelling and disrupted its functionality, sometimes even without the appearance of painful sensations. The child can change the gait, and very young children under the age of two, can generally stop walking. There is also a morning stiffness of the joints, which is expressed in difficulties during movement and self-service after sleep, difficulty in lifting, slow gait and other symptoms.

Such stiffness can last from a few minutes to one hour and even more. If the process of the disease for a long time is limited to only one joint, this form is called rheumatoid monoarthritis. At girls at preschool age, such form of an arthritis can be accompanied by disease which is called - children's rheumatoid uveitis. With this disease, the eye is damaged, the visual acuity is reduced, and sometimes even its complete loss for a period of up to six months.

A subacute onset of the disease can also occur with multiple joints. Such a form in medicine is called oligoarticular. Exudative changes, as well as pain in the joints can be both acute and moderate.

Treatment of the disease

There are several basic methods of treating this disease:

  • basic therapy, which includes the use of immunosuppressants, salts of gold, aminokholinov and other drugs;
  • reception of biological response modifiers along with glucocorticosteroids and the appointment of physiotherapy;
  • extracorporeal detoxification.