Joint rheumatism in children, even if not taken seriously can cause blindness. Pediatric Rheumatology Specialists from International Hospital, which we discussed about the severity of this disease, which started with pain, answered the questions.
At what age do joint rheumatism occur in children?
Joint rheumatism in children is usually seen from infancy to 18 years of age. There are seven subtypes of joint rheumatism. The most common subtype of joint rheumatism in children aged 4-6 years is systemic arthritis, and this type can spread to all ages. There are also subtypes seen in young children. But the most worrisome for us is the type that can be seen in all age distributions that we call systemic arthritis.
What symptoms should parents pay attention to if a child has joint rheumatism?
The symptoms of joint rheumatism in children vary according to age groups. The most common complaints; swelling of the joints of the child during the play age period, not being able to use their joints very comfortably, temperature increase on the joints, redness, if the knee limping walking and that joint, especially in the morning can be listed as a very skillful use. Mothers understand this when they are too young to express themselves. For example, the child who was comfortable with changing his diaper, starts to cry because of the inflammation there while moving his knee or hip.
How is joint rheumatism diagnosed in children?
The diagnosis is made by questioning the patient's history, learning how long the complaints have been going on, and physical examination. There are also a number of blood tests that support the diagnosis but certainly do not contribute to the diagnosis.
Are joint rheumatism more common in girls?
Some subtypes are more common in girls. For example, there is a subtype that is positive for rheumatoid factor and this type is more common in these girls. A type that holds hands and wrists. Very fast and aggressive, usually occurs in girls between the ages of 12-17.
Is there a risk that a child with rheumatism in his or her mother may have rheumatism?
We cannot say that it will be passed on to the child, but children who have rheumatism in their parents should be more careful and they should be seen by a pediatrician or pediatric oncologist without having to spend much time in joint complaints on their hands and feet.
What precautions should mothers and fathers take to prevent joint arthritis in children?
Joint rheumatism is varied and some of them are not known to cause; therefore, it is not possible to prevent it. But if we talk about rheumatic fever, that is to say, rheumatic heart rheumatism, it is very obvious. The disease occurs as a result of the late period of beta germs. Antibiotic therapy may be used to prevent this. You have a period of 9 days from the onset of complaints and treatment during that period will prevent the beta germ from damaging the heart valves.
If diseases are not taken, what diseases will occur?
The most important is the eye problem. May cause eye blindness. Other than that, there are diseases that start in the form of joint rheumatism. For example, tuberculosis often presents as joint rheumatism. Colitis, cancers can also occur in this way. The occurrence of cancer in a child with swollen joints is quite common. Psoriasis can also start with joint disorders.
What should a child with joint rheumatism be aware of after treatment?
First, it should not restrict your life. Because our first priority in treatment is to give the child the quality of old life. He should do his exercises regularly. Because in children with joint rheumatism, muscle dissolution may occur due to not being used. On the other hand, when there is joint rheumatism in the leg joints, more blood goes to that joint. As the child grows, false growth occurs in the area of more blood, which results in a height difference between the two legs. The early growing arm or leg may actually be shorter in the long term, ie 18-20 years. Inflammation of the joint may result in the union of the two bones. Exercise and regular use if physical therapy is given may eliminate such complaints.
What are the treatment methods of joint rheumatism?
It is a stepped treatment. In the first step, we start treatment with aspirin-derived drugs. We use these drugs for three months. Three months later, if we do not get what we want in the amount of joint swelling, we switch to second-line drugs. These are drugs used to treat cancer. If we can't get results again, then we're going to use biological drugs. In children's blood, it is seen that TMF is increased and then some biological drugs have been developed against this TMF. This point is the last point for us. Apart from medication, we can apply for physical therapy and rehabilitation from time to time. Especially if the joints are frozen or close to freezing and deformities have arisen in the joints, then we ask for help from physiotherapy and physiotherapy specialists. If a joint is completely devastated then what needs to be done is orthopedic intervention, that is, wearing a prosthesis.
What is the difference between growth pains and joint rheumatism pains?
Growing pains usually occur at night and awaken the child from sleep. When you ask the child to show pain, it does not indicate the joint. It shows the point between the knee and the ankle above the bone we call the tibia. These pains usually respond to either rubbing or a single dose of painkillers.
Which joints are most painful?
The most commonly involved joints are the knee joints, followed by the larger joints, namely the hand joints, hips and ankles. The jaw joint may also be involved. This can cause serious problems in the long term; because it may cause the chin to come out.
“Joint rheumatism can cause blindness in the eye if precautions are not taken. For example, tuberculosis often presents as joint rheumatism. Colitis, cancers can also occur in this way. The occurrence of cancer in a child with swollen joints is quite common. Psoriasis can also start with joint rheumatism. ”
“Growing pains often occur at night and are pain that wakes the child from sleep. When you ask the child to show pain, it does not indicate the joint. These pains usually respond to either rubbing or a single dose of painkillers. ”