Overview

Causes

JIA is caused by a problem with the immune system. The normal job of the immune system is to find and destroy items that should not be in the body, like viruses. With JIA, the immune system attacks and damages healthy tissue in the joint. It is not known why this happens. Genetics and the environment may play a role.

Risk Factors

JIA is more common in girls.

There are no clear risk factors for JIA. A family history of these health problems may be linked to some types of JIA:

  • Anterior uveitis
  • Ankylosing spondylitis
  • Inflammatory bowel disease
  • Psoriasis

SymptomsandDiagnosis

Symptoms

A child may have times when symptoms are worse and times when they improve. Symptoms may not be the same in each child. They can also differ with each type of JIA.

Some common problems may be:

  • Joint pain or stiffness, especially in the morning or after rest
  • Red, swollen, or warm joints
  • Lack of energy
  • Vision problems
  • Rash
  • Lack of hunger
  • Fever

Diagnosis

The doctor will ask about your child’s symptoms and health history. A physical exam will be done. It will focus on the joints. An eye exam may also be done. Your child may need to see a doctor who treats arthritis.

Blood tests will be done to look for proteins and chemicals linked to JIA.

Images may be taken of the joints. This can be done with:

  • X-rays
  • Ultrasound
  • MRI scan
  • CT scan

Treatments

Treatment

There is no cure. The goal of treatment is to manage symptoms, slow the disease, and prevent damage. Choices are:

  • Physical therapy and regular exercise to promote strength, flexibility, and range of motion
  • Assistive devices like splints to support bone and joint growth
  • Medicines, such as:
    • Nonsteroidal anti-inflammatory drugs (NSAIDs) to ease pain and swelling
    • Corticosteroids to ease swelling
    • Tumor necrosis factor (TNF) blockers to decrease swelling, pain, and joint stiffness
    • Disease-modifying antirheumatic drugs (DMARDs) to slow the disease
    • Interleukin inhibitors to ease disease activity

Prevention

There are no known guidelines to prevent this health problem.

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.

Edits to original content made by Denver Health.