Juvenile rheumatoid arthritis with systemic onset, wrist Save
ICD-10 code: M08.23
Chapter: Diseases of the musculoskeletal system and connective tissue
Juvenile Rheumatoid Arthritis with Systemic Onset Affecting the Wrist
Juvenile rheumatoid arthritis (JRA) with systemic onset is a type of arthritis that affects children and adolescents. It is characterized by inflammation, joint pain, and stiffness that can affect multiple joints throughout the body. One of the joints commonly affected by JRA with systemic onset is the wrist, which can lead to significant functional impairment.
The exact cause of JRA with systemic onset is not known, but it is believed to be an autoimmune disorder. The immune system mistakenly attacks the body’s own tissues, leading to inflammation and joint damage. Symptoms of JRA with systemic onset can include fever, rash, swollen lymph nodes, and joint pain and stiffness.
When JRA with systemic onset affects the wrist, it can cause significant pain and stiffness, making it difficult for children to perform daily activities such as writing, typing, and playing sports. The inflammation can also lead to joint damage over time, which can further limit wrist mobility and function.
Treatment for JRA with systemic onset typically involves a combination of medication, physical therapy, and occupational therapy. Non-steroidal anti-inflammatory drugs (NSAIDs) can help to reduce inflammation and pain, while disease-modifying antirheumatic drugs (DMARDs) can slow the progression of joint damage. Biologic medications may also be used to target specific components of the immune system that are causing inflammation.
- Medications: NSAIDs, DMARDs, Biologics
- Physical therapy: Exercises to improve joint mobility and reduce pain
- Occupational therapy: Strategies to improve daily function and minimize joint stress
It is important for children with JRA with systemic onset affecting the wrist to receive early and aggressive treatment to minimize joint damage and preserve function. Parents and caregivers can also help by encouraging children to maintain an active lifestyle and providing support for activities that may be challenging due to wrist pain and stiffness.
In conclusion, JRA with systemic onset affecting the wrist can be a challenging condition for children and adolescents. However, with proper treatment and support, many children with JRA with systemic onset are able to manage their symptoms and maintain a good quality of life.