1. EMedicine Health: Juvenile Rheumatoid Arthritis Information on the causes, symptoms, and treatment of arthritis in children. http://www.emedicinehealth.com/articles/34647-1.asp

Search September 9, 2005 Registration Healthcare Professionals You are in: Arthritis Juvenile Rheumatoid Arthritis Juvenile Rheumatoid Arthritis Overview The inflammation in the joints causes pain, stiffness, and swelling as well as many other symptoms. The inflammation often affects other organs and systems of the body as well. If the inflammation is not slowed down or stopped, it eventually destroys the affected joints and other tissues. Juvenile rheumatoid arthritis (JRA), or juvenile arthritis, is not a single disease, but a group of diseases. What they all have in common is chronic joint inflammation. Besides this common feature, these diseases are very different in their symptoms, their treatments, and their outcomes. Pauciarticular disease affects only a few joints, fewer than 5. The large joints, such as the shoulder, elbow, hip, and knee, are most likely to be affected. This type of JRA is most common in children younger than 8 years. Children who develop this disease have a 20-30% chance of developing inflammatory eye problems and need frequent eye examinations. Children who develop this disease when older than 8 years have a higher-than-normal risk of developing an adult form of arthritis. About 50% of all children with JRA have this type. Polyarticular disease affects 5 joints or more, sometimes many more. The small joints such as those in the hands and feet are most likely to be affected. This type can begin at any age. In some cases, the disease is identical to adult-type RA. This type accounts for about 30% of cases of JRA.

2. ENBREL: Approved For Psoriasis, Rheumatoid Arthritis, Juvenile Rheumatoid Arthri Etanercept. FDAapproved to treat rheumatoid arthritis, psoriasis, ankylosing spondylitis, psoriatic arthritis, and juvenile rheumatoid arthritis. Official pharmaceutical website. http://www.enbrel.com/

This site is intended for U.S. audiences only. What important information do I need to know about taking ENBREL? ENBREL is a type of protein called a tumor necrosis factor (TNF) blocker that blocks the action of a substance your body's immune system makes called TNF. People with an immune disease, such as rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, and psoriasis, have too much TNF in their bodies. ENBREL can reduce the amount of TNF in the body to normal levels, helping to treat your disease. But, in doing so, ENBREL can also lower the ability of your immune system to fight infections. All medicines have side effects, including ENBREL. Possible side effects of ENBREL include: Serious infections Many occurred in people prone to infection, such as those with advanced or poorly controlled diabetes Some serious infections have been fatal Rare cases of tuberculosis have occurred What not to do Do not start ENBREL if you have an infection such as an open sore or the flu, or are allergic to ENBREL or its components What to do Tell your doctor if you are prone to infection Stop ENBREL if a serious infection occurs Contact your doctor if you have questions about ENBREL or develop an infection Tell your doctor if you have ever been treated for heart failure Serious nervous system disorders such as multiple sclerosis, seizures, or inflammation of the nerves of the eyes

3. Questions And Answers About Juvenile Rheumatoid Arthritis What Are the Symptoms and Signs of juvenile rheumatoid arthritis? What AreResearchers Trying To Learn About juvenile rheumatoid arthritis? http://www.niams.nih.gov/hi/topics/juvenile_arthritis/juvarthr.htm

En español Health Information Health Topics Order Publications Studies with Patients Patient Research Registries ... NIAMS Coalition Members Health Topics PDF version Publication Date: July 2001 Questions and Answers About Juvenile Rheumatoid Arthritis What Is Arthritis? What Is Juvenile Rheumatoid Arthritis? What Causes Juvenile Rheumatoid Arthritis? What Are the Symptoms and Signs of Juvenile Rheumatoid Arthritis? ... Where Can People Get More Information About Juvenile Rheumatoid Arthritis? What Is Arthritis? Arthritis means "joint inflammation" and refers to a group of diseases that cause pain, swelling, stiffness, and loss of motion in the joints. "Arthritis" is often used as a more general term to refer to the more than 100 rheumatic diseases that may affect the joints but can also cause pain, swelling, and stiffness in other supporting structures of the body such as muscles, tendons, ligaments, and bones. Some rheumatic diseases can affect other parts of the body, including various internal organs. Children can develop almost all types of arthritis that affect adults, but the most common type that affects children is juvenile rheumatoid arthritis (JRA). What Is Juvenile Rheumatoid Arthritis?

4. Juvenile Rheumatic Disease Group Website Online support for parents of children with a JRD, including juvenile rheumatoid arthritis, juvenile scleroderma, juvenile dermatomyositis, juvenile systemic lupus, and other rheumatic disorders. Includes resources. http://www.geocities.com/beegal68/JRD-Website.html

Welcome to the Juvenile Rheumatic Disease (JRD) Website ~Click the picture above to enter~ Graphic's provided by www.graphicgarden.com You are visitor number since October 2001 A Free Online Support Group Script's provided by Dynamic Drive This page was created with the help of the Meta Tag Analyzer Please, help save a child's life and read the above "Amber Alert". If you would like an Amber Alert ticker for your website, please, click the ticker! © 2005 JRD

5. Questions And Answers About Juvenile Rheumatoid Arthritis What Is Arthritis? What Is juvenile rheumatoid arthritis? What Causes juvenile rheumatoid arthritis? http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

6. Index.html Tommy, Abby, Joel and Anna, from Mechanicsburg, PA, United States. Information about juvenile rheumatoid arthritis. http://www.geocities.com/tlzeigler

to the Zeigler Family Home (Internet Style) Click on the picture above to enter last updated January 22, 2003

7. Questions And Answers About Arthritis And Rheumatic Diseases about 2.1 million people) has rheumatoid arthritis. juvenile rheumatoid arthritisThis is the most common form of arthritis in childhood http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

8. Juvenile Rheumatoid Arthritis It may begin with a swollen knuckle, a spiking fever, or an unexplainable rash.But no matter what symptoms appear, hearing the word arthritis used as a http://kidshealth.org/parent/medical/arthritis/jra.html

KidsHealth Parents Medical Problems It may begin with a swollen knuckle, a spiking fever, or an unexplainable rash. But no matter what symptoms appear, hearing the word arthritis used as a diagnosis for your child can be unexpected and confusing. Arthritis is an inflammation of the joints that is characterized by swelling, heat, and pain . Nearly 300,000 children in the United States have some sort of arthritis. Arthritis can be short-term - lasting for just a few weeks or months, then going away forever - or it can be chronic and last for months or years. In rare cases, it can last a lifetime. The most prevalent form of juvenile arthritis is juvenile rheumatoid arthritis , or JRA . It affects approximately 50,000 children in the United States. What Causes Juvenile Rheumatoid Arthritis? The medical community doesn't know exactly what causes rheumatoid arthritis (also referred to as idiopathic arthritis) in children. Research indicates that it is an autoimmune disease. In autoimmune diseases, white blood cells lose the ability to tell the difference between the body's own healthy cells and harmful invaders like bacteria and viruses . The immune system, which is supposed to protect the body from these harmful invaders, instead releases chemicals that can damage healthy tissues and cause inflammation and pain.

9. Juvenile Rheumatoid Arthritis (JRA) juvenile rheumatoid arthritis What Is It? If your question is not answered here, please contact one of our information specialists. http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

10. Juvenile Rheumatoid Arthritis Kids can get a kind of arthritis, which causes joint pain. Find out more in thisarticle for kids. http://kidshealth.org/kid/health_problems/bone/juv_rheum_arthritis.html

KidsHealth Kids Kids' Health Problems You may have heard about arthritis (say: ar- thry -tus), which is a disease that causes swelling and pain in a person's joints. But isn't it something that only old people get? Actually, kids can get a kind of arthritis called juvenile rheumatoid arthritis. (It's called JRA for short and "juvenile" means young.) Kids can have many different types of arthritis, but JRA is the most common. Joints are the places where bones meet. Arthritis can prevent people from moving their joints properly. Juvenile rheumatoid arthritis (say: joo -vuh-nil roo -muh-toid ar- thry -tus) affects kids under age 16. These kids have arthritis in one or more joints. Many problems can cause pain and swelling of the joints, so a doctor will want to know how long these problems have been going on. To be considered JRA, a kid must have swelling and pain for at least 6 weeks. Although it has a similar name, juvenile rheumatoid arthritis is not the same as the kind of arthritis that affects adults. Although some of the symptoms may be similar, JRA doesn't damage bones as quickly as the rheumatoid arthritis that affects older people. Three Kinds of JRA There are three different types of juvenile rheumatoid arthritis that can affect kids.

11. Arthritis Foundation Home Page Juvenile Arthritis. Arthritis in children, teens, young adults Learn all you can about your disease. Rheumatoid Arthritis. Fibromyalgia. http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

12. Juvenile Rheumatoid Arthritis (JRA) However, because JRA affects each child differently, your child may not The signs and symptoms of JRA vary from child to child, and even from day to day http://www.arthritis.org/conditions/DiseaseCenter/jra.asp

Welcome! Log In Create Profile Search Arthritis.org Keyword advanced search Español Questions and Answers Assess Your Joint Health ... 51 Ways to Be Good to Your Joints Juvenile Rheumatoid Arthritis What Is It? Types of JRA Pauciarticular Polyarticular ... Quality of Life Issues Related Items From Arthritis Today Arthritis 101: JRA AJAO JRA Medications Other types of JA AF Research Progress and Opportunities in JA Free Brochures Arthritis in Children When Your Student Has Arthritis Decision Making for ... Arthritis Books Raising a Child With Arthritis: A Parent's Guide Newsletter Kids Get Arthritis Too Juvenile Rheumatoid Arthritis What Is It? If your question is not answered here, please contact one of our information specialists. JRA is the most common form of arthritis in children. It may be a mild condition that causes few problems over time, but it can be much more persistent and cause joint and tissue damage in other children. JRA can produce serious complications in more severe cases. Arthritis is best described by four major changes in the joints that may develop. The most common features of JRA are: joint inflammation, joint contracture (stiff, bent joint), joint damage and/or alteration or change in growth. Other symptoms include joint stiffness following rest or decreased activity level (also referred to morning stiffness or gelling), and weakness in muscles and other soft tissues around involved joints. However, because JRA affects each child differently, your child may not experience all of these changes. Children also vary in the degree to which they are affected by any particular symptom.

13. Juvenile Rheumation Arthritis - Adults Discussion forum for adults that have suffered with juvenile rheumatoid arthritis since childhood. http://www.jraadults.com

14. Pediatric Rheumatology Home Page A resource for families and physicians caring for children with juvenile rheumatoid arthritis, JRA, lupus, SLE, scleroderma, Kawasaki disease, and http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

15. Juvenile Rheumatoid Arthritis--Types Types of juvenile rheumatoid arthritis. Pauciarticular JRA. Pauciarticular means fewjoints. This form of JRA affects 4 or fewer joints. http://www.arthritis.org/conditions/DiseaseCenter/JRA/types_jra.asp

Welcome! Log In Create Profile Search Arthritis.org Keyword advanced search Español Questions and Answers Assess Your Joint Health ... 51 Ways to Be Good to Your Joints Juvenile Rheumatoid Arthritis What Is It? Types of JRA Pauciarticular Polyarticular ... Quality of Life Issues Related Items From Arthritis Today Arthritis 101: JRA AJAO JRA Medications Other types of JA AF Research Progress and Opportunities in JA Free Brochures Arthritis in Children When Your Student Has Arthritis Decision Making for ... Arthritis Books Raising a Child With Arthritis: A Parent's Guide Newsletter Kids Get Arthritis Too Juvenile Rheumatoid Arthritis Types of Juvenile Rheumatoid Arthritis Pauciarticular JRA Pauciarticular means "few joints." This form of JRA affects 4 or fewer joints. About 50% of all children with JRA have this type. Usually, large joints (knees, ankles or elbows) are most often involved. Other joints such as wrists, spine and even small finger or toe joints can also be affected but less commonly. Pauciarticular JRA often affects a particular joint on one side of the body rather than both sides at the same time (both sides involved is called "symmetrical arthritis"). There are two different types of pauciarticular JRA: one type usually affects little girls under age 7 and is associated with the development of eye inflammation (chronic iridocyclitis or uveitis) in about 1/3 of these children. These children should be tested for antinuclear antibodies (ANA). This tells the rheumatologist and the ophthalmologist (eye doctor) whether your child has a higher risk of developing uveitis (when the ANA is positive the risk is higher). Unfortunately, this eye condition is silent so only proper monitoring by an eye doctor who is familiar with this complication of JRA may find the changes in the eyes.

16. AnnasJRA Information and support to parents and children who deal with juvenile rheumatoid arthritis. http://www.geocities.com/tlzeigler/AnnasJRA.html

to Anna's JRA Page about Juvenile Rheumatoid Arthritis~ Our daughter Anna was diagnosed with a mild case of JRA in July 1999. Anna has pauci-articular JRA, which means that she has four or fewer joints affected. For Anna, the JRA is limited to her left knee. As Anna's Mom, I have gone through all kinds of emotions since she was diagnosed (even with a mild case!). I have spent hours at the computer researching every page I could find with some sort of information on JRA. That's why I wanted to do this page. I want to include many links to the varied sites available to make research less time-consuming for other parents and families. Over five years later (2005), I can tell you that life DOES go back to almost normalwith just a few extra things to think about and take into consideration. Things don't knock me off balance like they used to, but that's also in part to getting some of my own health issues taken care of (so parentsmake sure you take care of yourself, too!) For any parent whose child has been diagnosed with a chronic illness, I think it is crucial for you to surround yourself with friends and family who will listen to you and encourage you and keep you from feeling totally overwhelmed by everything. For me, it was my quest for information which helped me feel a little more in control, and my friends and family who helped me to regain my emotional balance. I found a message board where other JRA moms (and a few dads occasionally) talk and ask questions and share information and give advice. It has been an additional great system of support, hope, and encouragement.

17. MedlinePlus Juvenile Rheumatoid Arthritis juvenile rheumatoid arthritis http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

18. Index A mother describes her son's experience with juvenile rheumatoid arthritis, plus links to information http://www.geocities.com/Heartland/Village/8414/

The internet has been a valuable source of information and support for me, so I wanted to create a website that might in some ways be helpful to others. If you know a child who has Juvenile Rheumatoid Arthritis (JRA) or if you want to learn more about this condition, you may find it interesting to read about our personal experience. I'm not a medical professional ... and I don't play one on the web ... but I felt that others might benefit from the sort of information that I can share. You can also get information here about a popular email-based support and information group for people involved with Juvenile Arthritis, called The JRA List At the very least, I hope that my collection of related internet links may be useful to you in helping to sort through the millions of arthritis-related websites in existence, while you search for more information and the answers to your questions about JRA. One of the main reasons for putting together this website is my personal commitment to helping spread awareness of Juvenile Rheumatoid Arthritis (JRA). Until 1995, I didn't even know what those initials stood for. Unfortunately, most people still don't. Despite increasing numbers of cases, JRA has still not received a lot of public recognition. For many, it remains a more personal struggle. Hopefully, this will change. When there's greater public awareness of a significant health problem it's more likely there will be funding made available for its' study. With continued research comes the development of new, safer, and more effective medications. It is my hope that one day ... in the not so distant future ... a cure will be discovered. Possibly even a vaccine that will help prevent JRA in future generations of children.

19. MedlinePlus Rheumatoid Arthritis be interested in these MedlinePlus related pages . Ankylosing Spondylitis . Arthritis . juvenile rheumatoid arthritis . Bones, Joints http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

20. EMedicine Health: Juvenile Rheumatoid Arthritis Treatment The main goal for children with juvenile rheumatoid arthritis is for them to livea normal life. juvenile rheumatoid arthritis treatment must address all http://www.emedicinehealth.com/articles/34647-6.asp

Search September 9, 2005 Registration Healthcare Professionals You are in: Arthritis Juvenile Rheumatoid Arthritis Juvenile Rheumatoid Arthritis Treatment The main goal of treatment in children with juvenile rheumatoid arthritis is help them live as normal a life as possible. To be successful, this treatment must address all aspects of the disease, including medical problems and complications, physical functioning, school performance, and social and emotional adjustment. Care requires the coordinated efforts of a team of professionals. Medical treatment is only part of the equation. The team also may include physical and occupational therapists and a psychologist or counselor. A social worker can help the family cope with the social, financial, and emotional aspects of the disease. Although medication is the cornerstone of treatment of JRA, medication alone is unlikely to be successful if the child is not also receiving appropriate physical therapy, emotional counseling, and school assistance. Self-Care at Home Encourage your child to be as active as possible. Bed rest is not part of the treatment of JRA except for children with severe systemic disease. Indeed, the more active the child, the better the long-term outlook. Swimming and water aerobics are ideal activities because they place no stress on the joints. Children may experience pain during routine physical activities and thus must be allowed to limit their own activities, particularly during physical education classes. A consistent physical therapy program, with attention to stretching exercises, pain avoidance, joint protection, and home exercises, can help ensure that a child with JRA is as active as possible.

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