Adam C. Young, MD
Alan C. League, MD
Albert Knuth, MD
Alejandra Rodriguez-Paez, MD
Alexander E. Michalow, MD
Alexander Gordon, MD
Alexander J. Tauchen, MD
Alexander M. Crespo, MD
Alfonso Bello, MD
Ami Kothari, MD
Amy Jo Ptaszek, MD
Anand Vora, MD
Andrea S. Kramer, MD
Andrew J. Riff, MD
Angela R. Crowley, MD
Angelo Savino, MD
Anthony Savino, MD
Anuj S. Puppala, MD
Ari Kaz, MD
Ashraf H. Darwish, MD
Ashraf Hasan, MD
Bradley Dworsky, MD
Brian Clay, MD
Brian J. Burgess, DPM
Brian R. McCall, MD
Brian Schwartz, MD
Brian Weatherford, MD
Brooke Vanderby, MD
Bruce Summerville, MD
Bryan Waxman, MD
Bryant S. Ho, MD
Carey E. Ellis, MD
Carla Gamez, DPM
Cary R. Templin, MD
Charles L. Lettvin, MD
Charles M. Lieder, DO
Chinyoung Park, MD
Christ Pavlatos, MD
Christian Skjong, MD
Christopher C. Mahr, MD
Christopher J. Bergin, MD
Craig Cummins, MD
Craig Phillips, MD
Craig S. Williams, MD
Craig Westin, MD
Daniel M. Dean, MD
David Beigler, MD
David Guelich, MD
David H. Garelick, MD
David Hamming, MD
David Hoffman, MD
David M. Anderson, MD
David Raab, MD
David Schneider, DO
Djuro Petkovic, MD
Douglas Diekevers, DPM
Douglas Solway, DPM
E. Quinn Regan, MD
Eddie Jones Jr., MD
Edward J. Logue, MD
Ellis K. Nam, MD
Eric Chehab, MD
Eric L. Lee, MD
Evan A. Dougherty, MD
Garo Emerzian, DPM
Gary Shapiro, MD
Giridhar Burra, MD
Gregory Brebach, MD
Gregory J. Fahrenbach, MD
Gregory Portland, MD
Harpreet S. Basran, MD
Holly L. Brockman, MD
Inbar Kirson, MD, FACOG, Diplomate ABOM
Jacob M. Babu, MD, MHA
Jalaal Shah, DO
James M. Hill, MD
James R. Bresch, MD
Jason G. Hurbanek, MD
Jason Ghodasra, MD
Jason J. Shrouder-Henry, MD
Jeffrey Ackerman, MD
Jeffrey Goldstein, MD
Jeffrey Staron, MD
Jeffrey Visotsky, MD
Jeremy Oryhon, MD
Jing Liang, MD
John H. Lyon, MD
Jonathan Erulkar, MD
Jordan L. Goldstein, MD
Josephine H. Mo, MD
Juan Santiago-Palma, MD
Justin Gent, MD
Justin M. LaReau, MD
Kellie Gates, MD
Kermit Muhammad, MD
Kevin Chen, MD
Kris Alden MD, PhD
Leah R. Urbanosky, MD
Leigh-Anne Tu, MD
Leon Benson, MD
Lori Siegel, MD
Lynn Gettleman Chehab, MD, MPH, Diplomate ABOM
Marc Angerame, MD
Marc Breslow, MD
Marc R. Fajardo, MD
Marie Kirincic, MD
Mark Gonzalez, MD
Mark Gross, MD
Mark Hamming, MD
Mark Mikhael, MD
Matthew L. Jimenez, MD
Mehul H. Garala, MD
Michael C. Durkin, MD
Michael Chiu, MD
Michael J. Corcoran, MD
Michael O'Rourke, MD
Nathan G. Wetters, MD
Nikhil K. Chokshi, MD
Paul L. Goodman, DPM, FACFAS, FAPWCA
Peter Hoepfner, MD
Peter Thadani, MD
Phillip Ludkowski, MD
Priyesh Patel, MD
Rajeev D. Puri, MD
Rhutav Parikh, MD
Richard J. Hayek, MD
Richard Noren, MD
Richard Sherman, MD
Ritesh Shah, MD
Robert J. Thorsness, MD
Roger Chams, MD
Ronak M. Patel, MD
Scott Jacobsen, DPM
Sean A. Sutphen, DO
Serafin DeLeon, MD
Shivani Batra, DO
Stanford Tack, MD
Steven C. Chudik, MD
Steven J. Fineberg, MD
Steven Jasonowicz, DPM
Steven M. Mardjetko, MD
Steven S. Louis, MD
Steven W. Miller, DPM
Surbhi Panchal, MD
T. Andrew Ehmke, DO
Taizoon Baxamusa, MD
Teresa Sosenko, MD
Theodore Fisher, MD
Thomas Gleason, MD
Timothy J. Friedrich, DPM
Todd R. Rimington, MD
Todd Simmons, MD
Tom Antkowiak, MD, MS
Tomas Nemickas, MD
Van Stamos, MD
Vidya Ramanavarapu, MD
Wayne M. Goldstein, MD
Wesley E. Choy, MD
William P. Mosenthal, MD
William Vitello, MD

Help For Your Child’s Juvenile Idiopathic Arthritis (JIA)

Why Did Your Child Get Juvenile Idiopathic Arthritis?

JIA, or Juvenile Idiopathic Arthritis, is the most widely diagnosed arthritis in kids 16 years old or younger. Despite being so common and millions spent on research, it is not fully understood with no specific cause yet discovered. In some cases kids can actually “grow out” of the disease but many require life-long treatment. There are some possible causes that may be associated with this autoimmune disorder including:

  • An infection that starts the immune system’s response
  • Genetics and inherited factors
  • Females are more likely to develop rheumatoid arthritis
  • Stress, especially emotional, can make the symptoms more intense
  • Hormones, especially those tied to gender

What Types of JIA Are There?

There are many types of JIA but three types of juvenile idiopathic arthritis are the most common; oligoarticular, polyarticular, and systemic.

Oligoarticular JIA

Oligo means few, which in this case means that in the first six months of the disease four joints or less are affected. Large joints, like shoulders and knees are the most typically afflicted in the body, with small joints, toes and spine, possibly being affected in some cases. In most cases one side of the body is affected which can cause growth to occur unevenly.

Polyarticular JIA

Smaller joints are more commonly affected with this type of JIA, which affect more joints than oligoarticular. Polyarticular patients have the risk to develop rheumatoid arthritis due to the presence of an antibody called rheumatoid factor. Typically patients with this type of arthritis experience the effects in joints on both sides of the body.

Systemic JIA

Different from oligoarticular and polyarticular, this type of JIA affects both boys and girls on an equal basis. Systemic JIA is the most difficult type to diagnose for a number of reasons. It usually presents with a pink rash, fever, and arthritis that comes and goes throughout the day. Like colic seen in infants, the fever sometimes occurs at the same time each day with the rash following suit. Making it even more difficult to diagnose, the rash typically moves around the body and stays in one spot for less than an hour.

What Should You Watch For?

In all cases of juvenile idiopathic arthritis it is important to watch for a few problems including vision, growth and joint deformation. Eye problems sometimes occur without warning or symptoms. Inflammation in the eye can lead to a deterioration of vision and sometimes even permanent blindness. It is important to see an optometrist often, sometimes as much as twice a year or more.  It is very common for some kids to see growth restricted, which can be made worse by some of the medicinal treatments. Deformities in the joints are often seen with children who go untreated or neglect their physical therapy. In most cases the deformities are lifelong and untreatable.

Get Help For Your Kid (and Yourself)

The good news is that there is help. A few orthopedic physicians, including some at IBJI, specialize in this type of arthritis. Almost always a team of specialists is needed to help your child’s JIA. This team may consist of rheumatologists, orthopedic surgeons, occupational therapists and physical therapists and others outside the orthopedic medicine community like teachers, dentists and ophthalmologists. At IBJI we can provide access to every orthopedic specialty in one place and can refer you to other team members that are outside the institute. Make an appointment today with one of our juvenile idiopathic arthritis specialists. We are the right choice to treat your child’s JIA and get them acting like a kid again.

*The blog is for general information and educational purposes only regarding musculoskeletal conditions. The information provided does not constitute the practice of medicine or other healthcare professional services, including the giving of medical advice, and no doctor-patient relationship is formed. Readers with musculoskeletal conditions should seek the advice of their healthcare professionals without delay for any condition they have. The use of the information is at the reader’s own risk. The content is not intended to replace diagnosis, treatment or medical advice from your treating healthcare professional.