CHILDREN'S ARTHRITIS: SYMPTOMS AND TREATMENT

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:

  • of infection or viruses;
  • the metabolic disorders;
  • allergic reactions;
  • excessive load on the joints (in sports, for example);
  • disorders of the nervous system.

CLASSIFICATION OF THE DISEASE

Children found arthritis of the following types:

  • infectious or reactive (occurring on the background of infection of joint cavity pathogens is often found in children up to 6 years, which affects the hip joint);
  • post-vaccination (manifested in the form of individual pathological reactions of children's organism to introduction of any vaccine);
  • viral (is a complication of viral diseases, rubella, hepatitis, influenza);
  • rheumatoid (the most common rheumatoid arthritis in children);
  • juvenili(develops on the background of disorders of the immune system).

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.

Psoriatic arthritis in filios

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.

THE CLINICAL PICTURE OF THE DISEASE

Juvenile rheumatoid arthritis Symptoms of arthritis in a child depends on its type, but to say that the main signs of the disease include:

  • a reduction or complete loss of appetite;
  • pain that can be localized in any part of the body (during the destruction of the hip joint is enhanced when sitting);
  • morning joint pain accompanied by swelling of the affected areas of the skin;
  • if the affected knee or hip joint, it is very keenly felt stiffness in the movements (it is worth saying that in the pelvis the femoral region pain may be periodic, i.e. it may periodically disappear, which greatly complicates the diagnosis and does not allow the doctor to prescribe adequate treatment);
  • also symptoms of the hip joint include fever in the affected area and the appearance of acute pain during movement;
  • reactive arthritis in children under 6 years old is often accompanied by eye disease (rheumatoid arthritis), which leads to reduced visual acuity or complete loss;
  • fever;
  • unnatural crunch in the joints of patients.
Diagnosis puer arthritis

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:

  • increased nervous excitability that can manifest as anxiety, excessive loud, fearfulness or sleep disorders;
  • neuropsychiatric disorder;
  • night terrors;
  • the demon causal short-term increases in temperature (occur because of disorders of the nervous system);
  • anorexia, which is difficult to treat (mental indigestion can accompany other types of diathesis);
  • enuresis (it is also the pathology of a nervous character, which many parents do not pay attention, especially due to the fact that for children up to three years, it is normal and in most cases its development cause other diseases, but if it's accompanied with other symptoms described above, should be suspected diathesis).

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.

BASIC METHODS OF DIAGNOSIS

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:

  • laboratory examination of blood, lymph, synovial fluid;
  • radiography;
  • Ultrasound;
  • arthroscopy;
  • magnetic resonance imaging.
  • PRINCIPLES OF TREATMENT OF THE DISEASE

    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:

    Curatio pueritia arthritis
    • relief of the major symptoms of the inflammatory process and pain syndrome (use of NSAIDs and antibiotics);
    • preservation of the mobility of the bones in the affected location and prevention of disability (physiotherapy, massage);
    • improving the quality of life and achieve a state of stable remission.

    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.

    26.04.2018