Juvenile rheumatoid arthritis
Description
Refers to several conditions characterized by chronic synovitis and joint swelling, pain, and tenderness
Pauciarticular JRA: asymmetrical involvement of less than five joints; usually affects large joints, such as the knees, ankles, and elbows, and causes eye complications, such as iridocyclitis
Polyarticular JRA: symmetrical involvement of five or more joints, especially the hands and weight-bearing joints, such as the hips, knees, and feet; involves the temporomandibular joint, possibly causing earache; also involves the sternoclavicular joint, possibly causing chest pain
Systemic disease with polyarthritis: involves the lining of the heart and lungs, blood cells, and abdominal organs; exacerbations possibly lasting for months; fever, rash, and lymphadenopathy possibly occurring
Also called JRA
Pathophysiology
If JRA isn’t arrested, the inflammatory process occurs in four stages:
Synovitis develops from congestion and edema of the synovial membrane and joint capsule.
Pannus covers and invades cartilage, eventually destroying the joint capsule and bone.
Fibrous tissue and ankylosis occludes the joint space.
Fibrous tissue calcifies, resulting in bony ankylosis and total immobility.Stay updated, free articles. Join our Telegram channel
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