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Arthritis in Children? It’s True.
21:09
June 30, 2015
Childhood arthritis affects over a quarter of a million children and teens in the United States today. Also known as JIA (Juvenile Idiopathic Arthritis), childhood arthritis can be a chronic, painful, and debilitating disease that affects the joints in children under the age of sixteen and can lead to serious long-term problems. In this Pediatric Chat, the mother of a child with JIA shares her story about how they cope with this disease.
Featured Guest:
Paul Rosen, MD
Nemours/ Alfred I. duPont Hospital for Children
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My daughter is 4. She very active but the week of easter she was complaining of knee pain. Sure enough her knees were swollen and almost black n blue in colo . We are dealing with some elevated PTT bloodwork so she is sering a hematologist and im told its not related but I'm still concerned about her joints. She has woke up in the middle of the night saying her elbows hurt as well. Her swelling did go down but is it something that should be ignored. She has a history of neutropenia and weak immune system.'
We worry about juvenile arthritis if there is daily persistent joint swelling for at least 6 weeks. If the joint swelling is transient, and goes away within 6 weeks, than that would not be consistent with a chronic problem. Transient joint swelling could be caused by a reaction to an infection such as a virus and the joint issues go away without treatment. In an older child (like age 8), transient joint swelling could come after a Strep throat (which is rheumatic fever). Another possibility is if your child is very flexible, that can cause joint pain and mild swelling after activity. The treatment for that is physical therapy. Some kids with flexible joints also have nose bleeds, easy bruising, and this is associated with rare conditions like Ehlers-Danlos and Marfans. The 2 most likely considerations for your daughter would be joint hypermobility or a post-viral arthritis that will go away, but I would have you discuss these issues with your doctor.
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