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The management of chronic pain
Published in Alison Twycross, Anthony Moriarty, Tracy Betts, Paediatric Pain Management a multi-disciplinary approach, 2018
Alison Twycross, Anthony Moriarty, Tracy Betts
The pain associated with juvenile arthritis can be: related to the disease process itselfsecondary to treatment, for example physiotherapyunrelated to the disease.
Chronic Pain Management and Arthritis
Published in Deborah Fish Ragin, Health Psychology, 2017
Aches and pains may seem usual for a person with arthritis; in fact, many older persons experience these symptoms daily. But Caitlin is 14. What is more, Caitlin’s problems began when she was only three years old. She first complained of persistent knee pain. Her doctors looked for a host of possible explanations for the discomfort, including a fall from a bicycle, cancer, or meningitis or another infectious disease. But after ruling out these and other possible causes, doctors settled on juvenile arthritis—a form of arthritis that affects children usually before age 16—as the most likely explanation, even if the patient seemed a little young (Stahl, 2008). Like arthritis in adults, juvenile arthritis is caused by inflammation in the joints. Often the cause of the inflammation in children is unknown, but it is thought to be due to an autoimmune disorder. Consequently, children are often diagnosed with juvenile idiopathic arthritis, from the Greek words idios and pathos, meaning a disease of unknown origins (Centers for Disease Control, 2008; National Institute of Arthritis & Musculoskeletal & Skin Diseases, 2009). In some cases, juvenile arthritis can go into remission: that is, show no signs or symptoms of illness. But it is more likely that Caitlin, like other children diagnosed with the disease, will carry it into adulthood.
Test Paper 5
Published in Teck Yew Chin, Susan Cheng Shelmerdine, Akash Ganguly, Chinedum Anosike, Get Through, 2017
Teck Yew Chin, Susan Cheng Shelmerdine, Akash Ganguly, Chinedum Anosike
Juvenile arthritis affects children above 4–5 years of age. Radiographs may show erosions and loss of joint space. MRI and ultrasound are more sensitive for soft-tissue changes, allowing demonstration of synovitis, distinguishing pannus from simple effusion and identifying cartilage destruction and cortical erosions.
Juvenile idiopathic arthritis and its associated uveitis
Published in Expert Review of Clinical Immunology, 2023
Arash Maleki, Priya D. Patel, C. Steven Foster
In 2019, a consensus on screening of patients with JIA-associated uveitis was proposed. Based on this consensus, high-risk patients should be monitored every 3 months, and low-risk or moderate-risk patients should be monitored every 6 to 12 months [109]. (Table 2) This screening protocol helps with earlier diagnosis and lower the chance of treatment failure. Although the Juvenile Arthritis Multidimensional Assessment Report (JAMAR) and other instruments have been developed for monitoring and assessing the health status of children with juvenile idiopathic arthritis (JIA) including Quality of Life (QoL) [110], these instruments are not sensitive or specific in assessment of QoL in children suffering from JIA-associated uveitis. Further research is required to find a uveitis-specific questionnaire that will enable us to better identify patient’s requirements and quality of life [111].
Overcoming diagnostic and treatment challenges in uveitic glaucoma
Published in Clinical and Experimental Optometry, 2019
Erin R Sherman, Malinda Cafiero‐chin
Juvenile idiopathic arthritis is an autoimmune disease that typically affects children under the age of 16 years. It is the most common cause of uveitis in children.2006 There are seven sub‐types, each with different risks for glaucoma. The lowest risk occurs with systemic juvenile arthritis, classified as stiffness and pain of all joints and paired with intermittent rash, fever, and internal organ involvement. The oligoarticular sub‐type holds the highest risk for uveitis development at about 30 per cent.2008 It affects four or fewer joints, often the knee, and less frequently, the ankle or wrist. Symptoms include joint pain, stiffness, or swelling. It affects males more than females by a five‐to‐one ratio. Polyarticular arthritis involves more than four joints in the first six months of diagnosis. Further sub‐typing of oligoarticular and polyarticular arthritis includes anti‐nuclear antibody testing. Anti‐nuclear antibody positivity increases the risk of ocular complications. Systemic and oligoarticular types are 10 per cent and 75 per cent anti‐nuclear antibody positive, respectively.2008
A systematic review of workplace disclosure and accommodation requests among youth and young adults with disabilities
Published in Disability and Rehabilitation, 2018
Sally Lindsay, Elaine Cagliostro, Gabriella Carafa
Youth with juvenile arthritis encountered barriers in accessing accommodations, especially when vocational supports were uncoordinated, limited, and unresponsive to individual needs [49]. Shuey and Jovic [54] found that 29% of youth aged 20–29 reported unmet accommodation needs. Meanwhile, Gerhardt et al. [50] found that among those with juvenile arthritis, severity of the condition was not linked with occupational attainment. In contrast, Malviya et al. [58] found that the severity of the disability may influence job stability when you may need to take time off when the condition worsens. Having a longer time since diagnosis among those with juvenile arthritis was linked with lower self-report of job competence [50], which may be a result of the psychological impact of the disease. Jetha et al. [51] similarly reported that more disease activity among those with juvenile arthritis was linked with more job disruptions, which could potentially lead to disclosure and accommodation requests.