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Juvenile rheumatoid arthritis

Also known as JRA and Idiopathic Juvenile Arthritis

Juvenile idiopathic arthritis (JIA), also known as juvenile rheumatoid arthritis (JRA), is the most common form of arthritis in children and adolescents. (Juvenile in this context refers to an onset before age 16, idiopathic refers to a condition with no defined cause, and arthritis is the inflammation of the synovium of a joint.)

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with juvenile rheumatoid arthritis, 52% report having knee pain, 37% report having joint pain, and 26% report having back pain. The symptoms that are highly suggestive of juvenile rheumatoid arthritis are joint pain and wrist swelling, although you may still have juvenile rheumatoid arthritis without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with juvenile rheumatoid arthritis often receive hematologic tests, complete blood count, urinalysis, glucose measurement, physical therapy exercises, occupational therapy assessment, referral to home health care service and other therapeutic ear procedures .

Common Medications

The most commonly prescribed drugs for patients with juvenile rheumatoid arthritis include methotrexate, naproxen, folic acid, etanercept (enbrel), celecoxib (celebrex), adalimumab (humira), hydroxychloroquine (plaquenil), anakinra (kineret), infliximab (remicade), prednisolone ophthalmic, diclofenac, leflunomide (arava) and cyclosporine .

Methotrexate
$14
(28 days)
Naproxen
$11
(28 days)
Folic Acid
$3
(28 days)
Etanercept (Enbrel)
$1760
(28 days)
Celecoxib (Celebrex)
$128
(28 days)
Adalimumab (Humira)
$1859
(28 days)
Hydroxychloroquine (Plaquenil)
$17
(28 days)
Anakinra (Kineret)
$1472
(28 days)
Infliximab (Remicade)
$2995
(28 days)
Prednisolone Ophthalmic

Diclofenac
$59
(28 days)
Leflunomide (Arava)
$43
(28 days)
Cyclosporine
$209
(28 days)

Who is at risk?

Groups of people at highest risk for juvenile rheumatoid arthritis include race/ethnicity = hispanic, age 5-14 years and age 1-4 years. On the other hand, age < 1 years almost never get juvenile rheumatoid arthritis.

Age

< 1 years
0.0x
1-4 years
2.1x
5-14 years
5.9x
15-29 years
1.3x
30-44 years
0.2x
45-59 years
0.2x
60-74 years
0.1x
75+ years
0.1x

Sex

Male
0.8x
Female
1.2x

Race/Ethnicity

Black
0.7x
Hispanic
1.6x
White
0.9x
Other
1.4x
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