
Juvenile Idiopathic Arthritis
Frequently Asked Questions
What is Juvenile Idiopathic Arthritis (JIA)?
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JIA is a chronic disorder that develops in children who are 16 years of age and younger, and is characterized by swollen joints and joint pain
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There are 6 main types of JIA, including Systemic Arthritis, Polyarticular Arthritis, Oglioarthritis, Psoriatic Arthritis, Enthesitis-Related Arthritis, and Undifferentiated Arthritis
How Common is JIA and Who Gets it?
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It is very common and 1 in 1000 children have JIA
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The most common age of onset is between 2-4 years old
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It is more prevalent in females
What Causes JIA?
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The cause of JIA is unknown
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There is thought to be genetic predisposition to JIA that is triggered by factors in the environment, such as infection during childhood
What are the Main Signs and Symptoms?
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Joint stiffness, swelling, and pain
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Fever and rash
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Uveitis (eye swelling)
How is JIA Diagnosed?
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JIA is diagnosed by the child's doctor, based on a physical exam and tests, that rule out other similar disabilities
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The Pediatric Gait Arms Legs Spine examination has been used to assess joint ability in children
How is JIA Managed or Treated?
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JIA can be managed through a number of different medications, as well as occupational therapy, physiotherapy, a proper diet, eye care, and physical activity
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The goals of management are to alleviate pain and swelling, prevent permanent joint damage or disfiguration, and to enter remission
Can My Child Still Do Physical Activities?
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YES!
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Children with JIA should engage in regular physical activity, even if they are experiencing strong symptoms. If your child is experiencing strong symptoms, consult your doctor before exercise
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Activities such as swimming, yoga, resistance-band exercises, and body-weight exercises have many beneficial effects
What are Some New Ways that JIA is Being Managed?
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There is a lot more known about JIA now than in the past, making it more manageable
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New approaches include an emphasis on physical exercise, rather than rest and full reliance on medications, which was often prescribed in the past [1]
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The importance of a multi-disciplinary team is being recognized
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Recently, there is an emphasis on empowering children with JIA and providing pain coping strategies, through new and relevant ways, such as through the use of technology [1]
References
1. Jennifer Weiss, Nadia Luca, Alexis Boneparth, and Jennifer Stinson, "Assessment and Management of Pain in Juvenile Idiopathic Arthritis," Pediatric Drugs 16, no. 6 (2014): 473-481.