In a recent interview The Crown star Claire Foy discussed her career and what brought her up to date, including some mental and physical health problems she has experienced. One particular health challenge Foy faced in her early teens was juvenile arthritis .
"I had a juvenile arthritis at the age of 12 to 15, so I was on crutches," she said. 19659005] WSJ. Magazine . Foy, 34, also said the nights were tormented by her "extremely painful" arthritis. Her health problems did not end there: Foy was diagnosed with a tumor in the eye at the age of 1
Juvenile arthritis has a few things similar to adults, but it's not the same condition.
Arthritis is a condition in which your joints become inflamed and cause pain and stiffness. In juvenile idiopathic arthritis – the most common form of juvenile arthritis – inflammation occurs when the body's immune system mistakenly targets the synovium, the tissue that lines the interior of the joint. . The synovium reacts with excess fluid that causes swelling, pain and stiffness.
Unfortunately, doctors do not know why this is the case with some children, but they believe that certain genetic mutations make some people more vulnerable to environmental factors, such as viruses that can trigger the disease, says the Mayo Clinic .
Like adult forms of arthritis, juvenile arthritis also causes joint swelling, pain, stiffness and loss of motion, often in the knees, hands and feet according to MedlinePlus . Children with the condition can also limp first in the morning. Symptoms can come and go and some children may only have one or two relapses. Some children, however, may experience serious complications such as growth disorders, joint damage and eye inflammation.  Unlike adult arthritis, however, some children may only experience juvenile arthritis for a few months (others may have it for the rest of their lives). , The majority of children affected by juvenile idiopathic arthritis will also have only one joint affected by their condition, while adults with rheumatoid arthritis have more than one joint affected, Veena K. Ranganath Rheumatologist at UCLA Health and an Associate Clinical Professor in the Department of Rheumatology at UCLA, says SELF.
Unfortunately, juvenile idiopathic arthritis can develop into rheumatoid arthritis in some cases. "Some patients may have a swollen and tender joint that eventually develops into more than one affected joint," says Dr. Ranganath.
The diagnosis of juvenile arthritis may require a combination of tests.
If your child has a joint If you have pain, your doctor will likely undergo a series of blood tests, including tests that indicate inflammation markers, specific proteins associated with autoimmune diseases, or occasionally found in children with juvenile idiopathic arthritis , The Mayo Clinic says.
But in many children with juvenile idiopathic arthritis, blood tests show no significant abnormalities. The doctor may also order x-rays or MRI to rule out other possible causes of joint pain, such as a fracture, tumor, infection, or birth defect.
"After all, there is no blood test or something to say. Someone has juvenile idiopathic arthritis," says dr. Ranganath. The same goes for rheumatoid arthritis in adults. Instead, she says, it's an exclusion diagnosis. Since juvenile arthritis can be ambiguous, it may require multiple specialists before a correct diagnosis is made, says Carlos Uquillas, M.D., an orthopedic surgeon who works with pediatric patients at the Cedars-Sinai Kerlan Jobe Institute in Los Angeles. "I often see patients with juvenile arthritis complaining of knee or joint pain," he says. "We [give them the appropriate tests] and try to make a diagnosis and then consult a rheumatologist."
There are a number of medications and therapies that physicians can use to treat juvenile arthritis.
In General The Treatment Is Focusing Mayo Clinic says it can relieve pain and swelling, help children use their entire range of motion and strength, and prevent and reduce complications. Or, disease modifying antirheumatic drugs (DMARDs) such as methotrexate (Trexall) may be used, which are used when NSAIDs do not appear to work or when a patient is at high risk for complications in the future. Some patients may also benefit from biologics such as etanercept (Enbrel) and adalimumab (Humira) to reduce inflammation and prevent joint damage, the Mayo Clinic said. Corticosteroids such as prednisone can also be used to alleviate symptoms in the short term.
It may also be helpful for children to work with a physiotherapist to keep their joints flexible and functioning well. A Physiotherapist or Physician Can Do It is also recommended that a child use joint braces or braces to protect their joints. In more severe cases, surgery may be required to fix the position of a joint.
Regarding crutches, as in Foy's case, Dr. Uquillas that in some cases they can be helpful, especially if a child has hip, ankle or ankle knee joint is affected. "Crutches are often used when they can not burden these areas," he says. "We can use these instead of putting them in a wheelchair."
Apart from these options, the Mayo Clinic says it is important for juvenile arthritis patients to exercise regularly, to improve their joint flexibility and muscle strength, to apply warm or cold packs, to help with stiffness and to eat a healthy diet contains abundant calcium, as children with juvenile arthritis have a higher risk of developing weak bones.
Overall, Dr. Ranganath, the average person should not worry about them children who suffer from juvenile arthritis. "The likelihood of developing juvenile idiopathic arthritis is rare, but if it's affected, it's devastating," she says. However, if your child shows signs of the disease, it says it is important to work for their health and see a rheumatologist. "Seeing a rheumatologist is crucial in order to make the right diagnosis and be treated aggressively early," she says.