The term rheumatoid arthritis covers a group of illnesses, and some medical specialists do not believe that there really is a juvenile form of the rheumatoid arthritis which is seen in adults. It affects approximately 1 in 1500 children, and girls are affected more often than boys.
Cause
The cause for Still’s disease is unknown.
Clinical features /
Although the joints are most often affected in Still’s disease, there may also be inflammation of the eyes, and a characteristic pink rash on the face, limbs and trunk. At the onset of the illness your child may have swelling of one or two large joints, such as the knees, wrists or elbows. He may complain of pain and stiffness in these joints especially upon waking in the morning. He may also have a mild fever and feel generally unwell or weak. Lymph glands, especially in the neck , may be swollen. Smaller joints such as those in the fingers sometimes become swollen and painful.
• if your child has unexplained pain or swelling in one or more joints which lasts for more than 2-3 days;
• if your child has an unexplained fever or rash and is generally unwell.
Investigations
X-rays, blood and urine tests are usually performed in order to confirm the diagnosis of Still’s disease.
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