Types of Juvenile Arthritis

Juvenile arthritis, also known as juvenile chronicdiagnosed after age 10 and they may test positive
arthritis, childhood arthritis and juvenile idiopathicfor rheumatoid factor. This is a marker found in other
arthritis, has five different subtypes, or classifications,autoimmune disorders, including adult rheumatoid
depending on the symptoms found within the first sixarthritis. If a child does test positive for this marker,
months of diagnosis. These classifications arethey are more likely to develop deformed joints and
pauciarticular, polyarticular, systemic onset,many doctors consider this subtype of juvenile
spondyloarthropathy and psoriatic juvenile arthritis.arthritis adult rheumatoid arthritis that occurs at an
Juvenile arthritis was once referred to as juvenileearly age.
rheumatoid arthritis but the 'rheumatoid' was droppedSystemic onset juvenile arthritis is sometimes called
as part of the name because it leads people toStill disease after the doctor who first described it.
believe this disease is similar to rheumatoid arthritis inThis subtype of juvenile arthritis occurs in
adults, which it is very different from in terms ofapproximately 10% of juvenile arthritis patients and
symptoms, course of the disease and future outlookaffects boys and girls equally. Primary diagnosis is
of the disease.usually made between 5 and 10 years of age and
Pauciarticular juvenile arthritis affects less than fourmay be difficult to diagnose accurately because the
joints, usually the ankle, knee, elbow, or wrist and isinitial symptoms do not affect the joints. The initial
the most common type of juvenile arthritis. Thissymptoms are usually found with some type of
particular subtype affects around 45% of childreninfection, high fever, swollen lymph nodes, rash, loss
diagnosed with juvenile arthritis, very few of whichof appetite and subsequent weight loss. Occasionally
develop general, or body-wide, symptoms.children with this subtype of juvenile arthritis will
Pauciarticular juvenile arthritis sufferers rarelydevelop more serious complications, inflammation of
experience bone growth problems or deformedthe sac surrounding the heart (pericarditis),
joints, which may be associated with other types ofinflammation of the heart itself (myocarditis) and
juvenile arthritis. Some children with juvenile arthritisinflammation of the tissue lining the chest cavity and
develop inflammation of the eye, known as uveitis,lungs (pleuritis). However, systemic onset juvenile
which can lead to blindness if it isn't treated promptly.arthritis rarely includes inflammation of the eye as
Pauciarticular juvenile arthritis will sometimes disappearseen in pauciarticular juvenile arthritis. When arthritis
within a few years, but many children will experiencesymptoms do begin to appear, often later in the
cycles of remission and flares for the rest of theircourse of this disease, they usually affect the wrists
life.or ankles. Many of the children diagnosed with
Polyarticular juvenile arthritis affects about 40% ofsystemic onset juvenile arthritis will experience cycles
children diagnosed with juvenile arthritis and it affectsof remissions and flares of the systemic symptoms
more girls than boys. This subtype of juvenile arthritisthroughout their childhood. Systemic onset juvenile
affects children with a huge age gap and it is rarelyarthritis sufferers will go on to develop polyarticular
first diagnosed between age three and ten.juvenile arthritis.
Polyarticular juvenile arthritis affects at least fiveThe final two subtypes of juvenile arthritis,
joints at the same time, usually the small joints of thespondyloarthropathy and psoriatic juvenile arthritis are
hands and feet, although the knee has been knownrare. Spondyloarthropathy usually affects boys over
to be affected as well. When the knee is affectedthe age of eight. It begins in the knees and ankles,
by juvenile arthritis, the bones in the leg will begin toslowly moving to include the lower spine and hips.
grow at different rates and one leg will becomeSometimes uveitis occurs, but resolves on its own.
longer than the other. This can lead to arthritis in thePsoriatic juvenile arthritis affects less than four joints
hip or spine, which around half of all childrenin the beginning, but soon advances to other joints.
diagnosed with this subtype of juvenile arthritis willThe toes, hips, spine and fingers are the main joints
develop. Polyarticular juvenile arthritis presents withaffected by this subtype of juvenile arthritis. Children
general symptoms, such as decreased appetite, slightwith this subtype of juvenile arthritis often suffer
fever and a slight rash. Polyarticular juvenile arthritis isfrom psoriasis and have pits or ridges on their
usually most severe in children who were primarilyfingernails. This arthritis often disables the child.