Arthritis doctors call the disease of inflammatory nature, in which affects the inner lining of the joints. It can occur in acute and chronic form, characterized by a slow progressive course and without proper treatment can lead to disability of the patient.
The exact causes of this disease is not known, but most scientists are inclined to immuno-genetic theories of its origin, according to which the arthritis develops on the background of genetic disorders of the immune system. In addition, inflammation, defeat joint tissue can cause the following factors:
Children found arthritis of the following types:
Also worth mentioning that there is a polyarthritis characterized by inflammation of two or more joints at once, and mono-arthritis, which often affects the knee or hip joint.
About the pathogenesis of the disease, due to the lack of accurate information about the causes of its development, tell you almost anything, however, the mechanism of development of juvenile rheumatoid arthritis in children is based on the disorders of an autoimmune nature. When conducting research in the body of the child with this diagnosis it was found high content of autoantibodies that can form immune complexes that damage the synovial membrane of the joints.
Juvenile rheumatoid arthritis Symptoms of arthritis in a child depends on its type, but to say that the main signs of the disease include:
Scientists have noted that rheumatoid arthritis in children is characterized by a symmetrical lesion of the synovial tissue from the right and left sides of the body. This is the main symptom of the disease and is used for staging the primary diagnosis.
We should also talk about what the children found in such diseases as neuro-arthritic diathesis, which is sometimes called gout arthritis. Basically diathesis is not a disease but a condition of the child's body, which is transmitted by heredity and is characterized by a predisposition to development of diseases of allergic, infectious, inflammatory, or nervous character.
And neuro-arthritic diathesis represents a body state in which the child is found the genetic disorders of metabolism, manifested in the face of excessive excitability of the nervous system. Diathesis neuro-arthritic nature it would be logical to refer to a group of metabolic disorders, however, the difficulty lies in the fact that the main symptoms include lesions of the joints (in most cases the hip).
Diathesis of this type is found only in 2% of patients, but its treatment is very difficult. Children of breastfeeding age of its diagnosis is very difficult, because the full clinical picture of the disease only manifests itself at school age. The symptoms of it (except joint pain) include:
The doctors say that the neuro-arthritic diathesis, occurring in children up to 18 years, it is a collective term, which includes different undiagnosed (often hereditary) disorders of metabolism. For this reason, to cure such diathesis is almost impossible, so the doctors are treating the diseases that occur in the background.
Diagnosing arthritis in children under 16 years old is very difficult, because every patient it can manifest itself in different ways. The main thing is that when the first symptoms of its manifestations it is necessary to consult a doctor, because the sooner he can be diagnosed and appropriate treatment, the more likely it is that the prediction of therapy will be beneficial.
The main methods of diagnosis include:
Treating disease does the doctor. In acute cases it takes place in a hospital where professionals can provide the affected joint mobility. Treatment should be comprehensive and include a range of measures aimed at:
Treatment of arthritis of the hip joint has its own characteristics such as severe pain that usually accompanies this disease, the patient is assigned intraarticular injection of glucocorticoids (course lasts no longer than seven days).
In severe cases, the disease doctor may prescribe a surgery a synovectomy (surgical removal of the inflamed parts of the synovium) or a complete replacement of the affected joint with a new one (this operation is usually carried out with the defeat of the hip or knee compositions).
The prognosis of the disease conditionally unfavourable, that is, arthritis is a lifelong diagnosis. However, in properly selected drug therapy can achieve a persistent state of remission and improve the quality of life of the patient.