View source for Disabled Village Children:Chapter 16: Juvenile Arthritis: Chronic Arthritis in Children

{{bctrail|segments=2|chaptitle=Chapter 16: Juvenile Arthritis: Chronic Arthritis in Children}}
{{DISPLAYTITLE:Chapter 16: Juvenile Arthritis: Chronic Arthritis in Children}}
{{SideSupplement|bookabbreviation=dvc|pagealt=is from page 135 of|chapterpdf=http://hesperian.org/wp-content/uploads/pdf/en_dvc_2023/en_dvc_2023_16.pdf|bookurl=Disabled Village Children|booktitle=Disabled Village Children}}
{{chaptertoc|In this chapter:|
 <ul class{{=}}"noprint">
<li>[[Disabled Village Children:Chapter 16: Juvenile Arthritis: Chronic Arthritis in Children|Chapter 16: Juvenile Arthritis: Chronic Arthritis in Children]]</li>
    <li>[[Disabled Village Children:Chapter 16: Juvenile Arthritis: Chronic Arthritis in Children#How to Recognize It|How to Recognize It]]</li>
    <li>[[Disabled Village Children:More Information About Juvenile Arthritis|More Information About Juvenile Arthritis]]</li>
    <li>[[Disabled Village Children:Managing Juvenile Arthritis|Managing Juvenile Arthritis]]</li>
  <li>[[Disabled Village Children:Rest and Position|Rest and Position]]</li>
  <li>[[Disabled Village Children:Exercises and Movement|Exercises and Movement]]</li>
  <li>[[Disabled Village Children:Exercises Without Motion|Exercises Without Motion]]</li>
  <li>[[Disabled Village Children:Progression of Exercises for the Child with an Arthritic Knee|Progression of Exercises for the Child with an Arthritic Knee]]</li>
  <li>[[Disabled Village Children:Exercising an Arthritic Knee Through Daily Activities|Exercising an Arthritic Knee Through Daily Activities]]</li>
  <li>[[Disabled Village Children:Range-of-motion Exercises for Children with Arthritis|Range-of-motion Exercises for Children with Arthritis]]</li>
  <li>[[Disabled Village Children:'Floating-in-air' Devices for Relaxing and Moving Painful Joints|“Floating-in-air” Devices for Relaxing and Moving Painful Joints]]</li>
    <li>[[Disabled Village Children:Correcting Contractures Caused by Arthritis|Correcting Contractures Caused by Arthritis]]</li>
<li>[[Disabled Village Children:Homemade Aids for Stretching Joints|Homemade Aids for Stretching Joints]]</li>
<li>[[Disabled Village Children:Correcting Contractures of Arthritic Hips|Correcting Contractures of Arthritic Hips]]</li>
<li>[[Disabled Village Children:Learning to Move and Smile, the Story of Teresa|Learning to Move and Smile, the Story of Teresa]]</li>
 </ul>
}}
<div  id="How to Recognize It"></div>
=How to Recognize It?=
*The arthritis (joint pain) often begins between the ages of 5 and 10, but may  begin in very young children or teenagers. 
*Usually it keeps getting worse for several years. 
*There are times when the pain and other signs get better, and times when they get  worse. 
*It affects different children in different ways. It can be mild or very disabling.

=====Signs=====
<br>
'''<center>JOINTS THAT MAY BE AFFECTED</center>'''
<table width=60%>
<tr>
<td align=center>First, these joints</td>
<td align=center>Later, these joints</td></tr>

<tr>
<td>[[Image: DVC_Ch16_Page_135-1.png|center|150px|alt=wrist, knee, and ankle joints]]</td>
<td>[[Image: DVC_Ch16_Page_135-2.png|center|150px|alt=neck, shoulder, back, elbow, hip joints]]</td></tr>
</table>

*'''Joint pain'''. Often begins in the knees, ankles, and wrists. Later it affects the neck, fingers, toes, elbows, and shoulders. Still later, the hips and back may be affected.
*Joints are especially painful and '''stiff in the morning''' (morning stiffness).
*'''Fevers and rash''' that come and go. (In some children these are the first signs.)
*The knees become large and may turn inward.
*Pain may make it difficult to straighten the knees, hips, and other joints. The cords may tighten, forming contractures, and the bones may gradually become dislocated.

{{clr}}
<table width=90% style="line-height:110%;font-style:italic;">
<tr>
<td valign=bottom style="width:50%;">[[Image: DVC_Ch16_Page_135-3.png|center|145px]]</td>
<td valign=bottom  style="width:50%;">[[Image: DVC_Ch16_Page_135-4.png|center|100px]]</td></tr>

<tr valign=top>
<td style="padding-bottom:40px;padding-right:40px;">
A child with severe arthritis often sits with his arms and legs bent in the least painful position. Without exercise and good positioning, contractures may form so that he cannot walk or even stand up.</td>
<td style="padding-right:40px;padding-left:40px;">Children with severe arthritis in the neck and jaw may have a small, short chin.</td></tr>
</table>

{{clr}}

<table width=90% style="line-height:110%;font-style:italic;">
<tr valign=top>
<td style="width:33%;">[[Image: DVC_Ch16_Page_135-5.png|center|75px]]</td>
<td style="width:33%;">[[Image: DVC_Ch16_Page_135-6.png|left|140px]]</td>
<td style="width:33%;" rowspan=2>
Contractures may develop in the fingers or toes, and with time the bones may fuse (stick together).</td>

</tr>
<tr valign=top>
<td style="padding-right:40px;">
The fingers may become very swollen</td>
<td style="width:33%;padding-right:40px;">
Wrists and ankles may become stiff and bent.</td>

</tr>
</table>

{{clr}}

{{Previous and next sections|Information On Aspirin and Ibuprofen for Swollen Joints in Persons with Arthritis or Rheumatic Fever|More Information About Juvenile Arthritis}}
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[[es:Disabled_Village_Children:Capítulo_16:_Artritis_juvenil:_Artritis_crónica_en_niños]]
[[en:Disabled_Village_Children:Chapter_16:_Juvenile_Arthritis:_Chronic_Arthritis_in_Children]]