We normally take it for granted that arthritis is a kind of elderly patients, but in fact are also many children who are ill. These young patients are often neglected, causing misdiagnosis, to bring hinder their growth. The authority of the pediatrician to remind parents, children with chronic arthritis is the main reason of common diseases and blindness.
Chronic arthritis is one of the main childhood blindness
Shanghai Children's Medical Center pediatric rheumatologist, said Zhou Wei, adults with chronic arthritis is not a "patent", according to the Shanghai Children's Medical Center Rheumatology specialist out-patient statistics, treatment of children each year nearly a thousand times joint discomfort. Juvenile chronic arthritis harm than one might imagine, it happened and immune dysfunction, infections, especially group A streptococci, mycoplasma, and EB virus infection.
Dr. Zhou Wei reminded, arthritis not only affect the joints of the disease can also cause eye disease, causes severe vision loss or even blindness; of heart, lung and liver, resulting in the corresponding organ dysfunction; other symptoms include high fever, increased white blood cell, liver, spleen and lymph nodes, such as pleurisy and pericarditis. Children with chronic arthritis in children, life can not take care of themselves because of their limited mobility, often to the family daily life difficult.
Children with chronic arthritis is a long year before the age of 16 children had persistent arthritis of more than 6 weeks. Parents should be alert to that caused by severe eye involvement can lead to vision loss or even blindness in children.
Caused by chronic arthritis of the eye lesions, uveitis before the most obvious hazards. Anterior uveitis is iritis and iridocyclitis in general. The symptoms of eye pain, photophobia, tearing. In the acute stage, there will be corneal edema, aqueous cloudy. In the chronic phase, there will be the lens or vitreous opacity phenomenon. These diseases can affect children with vision.
In the combined systemic diseases in children with anterior uveitis in children with chronic arthritis, 81.5% to 97.6%, mostly in the event after arthritis symptoms. Incidence of occult some children, no significant ocular symptoms until complications (such as cataract, glaucoma and corneal band degeneration), the anterior uveitis will be diagnosed.
In addition, systemic arthritis may also be an early manifestation of severe disease, therefore, Zhou Wei to remind parents to be closely observed in children with chronic arthritis condition changes, such as anemia, hematuria, proteinuria, decreased muscle strength and rash and other symptoms, should be noted that whether the development of serious diseases such as systemic lupus erythematosus may be.
Chronic arthritis easily overlooked
According to Zhou Wei, children were divided into acute and chronic arthritis. Acute arthritis, often by bacterial infection, upper respiratory tract infection, drugs, allergies and other factors. Clinical manifestations of joint swelling and tenderness, swelling, skin temperature at high and joint activity limitation, rapid onset, short duration, usually no more than 4 weeks. Such children need anti-infective, and analgesic treatment of primary disease, proper rest, the condition can be eased soon.
Must draw attention to the parents of children with chronic arthritis. Dr. Zhou Wei said, chronic arthritis generally refers to one or more of arthritis, continued for more than 6 weeks. In addition to arthritis, but some patients may have lesions of other body organs. Dr. Zhou Wei stressed that some children with chronic arthritis joint pain when light weight, some of the children only in early disease joint swelling, often less likely to arouse parental attention and delay the timing of treatment. Some children with arthritis, rheumatism specialist treatment is not timely to get a reasonable diagnosis and treatment may also be affected by treatment.
Children should be conducted every 3 to 6 months an eye examination
Children with chronic arthritis can be divided into systemic, oligoarticular, rheumatoid factor negative polyarticular, rheumatoid factor positive polyarticular, psoriatic, and attachment type and not related to inflammation such as seven types differentiated. Children showed joint swelling, effusion, or the existence of limited mobility, joint tenderness, activities, joint pain, joint surface skin temperature increased in some patients accompanied by high fever, lymphadenopathy, pleurisy, and eye, heart, lung, liver, blood disease.
Children with chronic arthritis, the incidence of eye lesions in oligoarticular the highest point of attachment of inflammation-related arthritis and polyarticular Secondly, the body-type is rare. Polyarticular arthritis is the first incidence of joint involvement at 6 months ≥ 5 个, involved joints were symmetrically distributed mainly involved the size of the joints can be arthritis.
Oligoarticular arthritis in 6 years before the peak, occurs in girls. The onset of the first 6 months and 1 to 4 joints involved. Knee, ankle, elbow or wrist, and other large joints as a good site, often non-symmetry. Oligoarticular arthritis of the most common articular manifestations of chronic iridocyclitis, the rate was 20% to 30%, accounting for children with chronic arthritis, complicated by anterior uveitis 74% to 91%, especially anti-nuclear antibody positive children.
Inflammation associated with arthritis attachment points to 8 to 15 years of age onset more common, occurs in boys, and have a family predisposition. Characterized by its incidence and tendon, ligament and bones at the connection point there is inflammation in the hip joint, knee, and ankle joints based non-symmetrical distribution. 5% ~ 10% of such patients may be complicated by acute anterior uveitis.
In particular, remind parents that even children with no ocular symptoms, should be conducted every 3 to 6 months an eye examination.
Moderate exercise can increase the blood supply to prevent arthritis
How do we avoid in life arthritis it? Wei Zhou, said in addition to a genetic susceptibility to chronic arthritis, the incidence of environmental factors is an important reason, especially pathogenic microbes. Therefore, the healthy lifestyle, balanced diet, prevention of infection, moderate exercise to increase blood supply within the joints, to avoid being overweight, joint injury, proper warm and avoid cold, can reduce the risk of suffering from arthritis.
Although arthritis is very destructive to children, but by early diagnosis, early treatment, most patients can complete remission, to maintain normal joint function. Doctors advise parents that children have unexplained joint swelling, pain, joint local skin temperature increased, activities affected, rheumatology specialist hospital in time to avoid delays in treatment time, resulting in impaired joint function and other adverse consequences.
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