The 9-year-old boy got wind! wet! sick! I'm also blind in my left eye! If your baby complains that her bones hurt, don’t take it seriously.

I have rheumatoid arthritis

I don’t even need to look at the weather forecast

I can guess almost as soon as my body hurts

The weather has changed again!

But

You may not imagine it

This disease is not "patented" for the elderly

Many little kids have hairy Not growing up

Also suffering from rheumatism

Yaoyao is a lively and cute little girl who likes to dance. She used to go to the dance studio to train every week. However, in recent months, her knees and ankles often hurt for no apparent reason.

"Did you fall? Muscle sprain? You have been practicing a little hard recently."

The strange thing is that Yaoyao's skin has no breaks or bruises on the surface. Her mother applied some revitalizing oil and told her not to practice dancing recently and to have a good rest.

However, after a few days of rest, Yaoyao's knee still hurt. Her wrist also began to hurt slightly.

Mom has heard people say that when a child grows, there will be a period of "growing pains." Once it develops well, it will naturally stop hurting. So, she didn't pay much attention. Every time Yaoyao complained of pain, she would give her a massage or hot compress.

Unexpectedly, trouble came——

That day, Yaoyao was in so much pain that she could not stand up. The mother rolled up her trousers and took a look, and gasped: The child's right knee is red and swollen, like a big steamed bun!

Without enough time to think about it, the mother quickly picked up the child and rushed to the local hospital. However, I visited orthopedics, traditional Chinese medicine, and rehabilitation departments, and tried traction, infrared lights, and acupuncture, but it still didn't work.

When he was at a loss, the doctor pointed out a way:

"It may be rheumatism! Let's go to a higher-level hospital."

What? Rheumatism? Isn't that an old man's disease? How could such a young child...

Although they were dubious, they still did not dare to neglect, and hurriedly came to Shenzhen Children's Hospital and registered for the Rheumatology and Immunology Specialist.

This investigation confirmed: juvenile idiopathic arthritis.

This is a chronic rheumatic disease in children. Its main impact on children is disability. If it progresses quickly, it will become disabled in 3 months. In severe cases, one has to sit in a wheelchair all year round and cannot take care of oneself. Some children may even be life-threatening.

After carefully checking Yaoyao's condition, the doctor breathed a sigh of relief -

"Fortunately, it came in time. If it were delayed, the child might be disabled or blind!" < /p>

This is really not an exaggeration. Previously, a child lost the opportunity to see the world forever because of delayed treatment:

In Huzhou, Zhejiang, a 9-year-old girl suffered from systemic juvenile idiopathic arthritis and was not treated in time, resulting in He is blind in his left eye and can only see blurry shadows within 50 centimeters in his right eye.

After hearing the doctor’s introduction, Yaoyao’s family was both surprised and frightened.

But why do children get this kind of "senile disease"? Isn’t it really “growing pains”?

As long as a child complains about bone pain, many parents will think of "growing pains".

The so-called "growing pains" refer to the physiological pain that occurs when a child is growing up because the long bones grow faster and the growth and development of local muscles and tendons is slower.

Statistics show that about 20% of children have experienced growing pains.

If it is really growing pains, there is no need to treat it. Usually, it resolves on its own with rest. Hot compresses and massage can also relieve pain.

Generally speaking, after children go to school, there are very few "growing pains". This is because children spend more time sitting in the classroom and less time and amount of exercise.

So

Juvenile idiopathic arthritis

What’s going on?

Juvenile idiopathic arthritis (abbreviated as "JIA" in English) is actually a common rheumatic disease in children.

For every 10,000 children, 1 to 15 will suffer from arthritis

Juvenile idiopathic arthritis (JIA) is an autoimmune disease, that is, the autoimmune system "does not Recognize "one's own joint cells, caused by self-attack." The cause of the disease is unknown and may be related to abnormal immune regulation, environmental exposure, genetic factors, etc.

JIA is common in children aged 5 to 12 years old, with an incidence rate of approximately 1.6/10000 ~ 15/10000. In other words, for every 10,000 children, 1 to 15 will get this disease.

01 It’s all bone pain

How to distinguish between growing pains and arthritis?

It is not difficult to distinguish them. There are three main places to look at -

Growing pains: mostly in the afternoon, evening or late at night

Arthritis: most likely to occur In the morning, your child may feel particularly stiff when he wakes up. Strenuous activity can also occur.

Location of pain

Growing pains: mostly in the lower limbs (such as thighs or calves)

Arthritis: concentrated in various joints of the body (wrists, knees or ankles) etc.)

02 The child complains that his bones hurt

In what situations should he see a doctor?

If your child keeps complaining about "bone pain" and does not get better for more than 2 weeks, you should not take it seriously.

If your child has no sprains or bumps, his joints are swollen and painful for no reason, and his walking gait is abnormal, or he doesn’t like to walk or go out to play, don’t hesitate to go to the pediatric rheumatology and immunology department for a checkup as soon as possible. .

Especially for infants and young children under 3 years old, the condition can rarely be accurately explained. This requires careful observation by the old mothers~~

Special reminder:

If the child has unexplained fever and joint swelling and pain, treatment in other departments will not be effective for more than half a month. If it is not obvious, it is recommended to go to the rheumatology and immunology department for examination.

03 The child was diagnosed with arthritis

Can it be treated well?

Currently, juvenile idiopathic arthritis cannot be cured.

The golden period for JIA treatment is within 1 year of the first onset of illness. As long as timely, long-term and regular treatment is given, most symptoms can be controlled. Such children can grow and develop normally and go to school normally.

Moreover, the advent of targeted drugs-biological agents has also brought new hope to children with JIA.

So, the most important thing is: If you find that your child always has "bone pain", you must see a doctor as soon as possible.

In addition to joint swelling and pain, if the child has these symptoms, the situation is not good -

Unexplained fever

The child has a fever, infectious cause It is the most common and can usually be cured within three to five days with anti-infective treatment. However, there are two situations where rheumatism needs to be diagnosed:

One is a high fever that is difficult to go away. A few hours after taking antipyretics, the high fever returns again and lasts for several days, accompanied by a rash or red eyes and red tongue;

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The other type is persistent and recurring fever, which is not necessarily very high and lasts for 1-3 months. It is accompanied by erythema, joint swelling and pain, oral ulcers, limb weakness, vascular lesions and other symptoms.

Bizarre rashes

Rheumatism rashes are all kinds of weird and can appear as butterfly-shaped erythema, urticaria-like, bright red bleeding spots, dark red petechiae, large blisters, etc. .

At this time, no matter how many Shuangfei people and Pi Yanping you rub, it will not help. In these cases, rheumatic immune diseases should be investigated.

Always have oral ulcers

Oral ulcers and internal heat.

Long-lasting oral ulcers may be caused by abnormal autoimmune function, which can be the main manifestation of systemic lupus erythematosus, Behcet's disease, or even immunodeficiency diseases.

Muscle weakness

The child used to be very lively, but now he can’t even squat on the toilet, can’t lift his hands high, and is very tired after going up two flights of stairs. Parents should be careful. This may be an immune myopathy.

If your child's face always looks like he is drunk and there are many red spots on the back of his fingers, then go to the hospital quickly. This may be juvenile dermatomyositis.

Dry eyes and mouth

This is a symptom that parents tend to ignore, but it is also easy to identify.

If a child rubs his eyes frequently and requires eye drops, it means his eyes are dry; if he usually eats potato chips, bread or steamed buns, he must drink them with water, which means he has a dry mouth.

If your child has the above symptoms (especially girls), you must be wary of Sjögren’s syndrome.

Dear Mommies:

The mythical beast that was originally jumping up and down

If it suddenly becomes quiet

Be sure to observe carefully

If you need to be sent to the hospital, don’t delay! !

Department Introduction

The Department of Rheumatology and Immunology of Shenzhen Children’s Hospital is a specialty specialty in Guangdong Province and a key discipline in Shenzhen. The subject leader, Director Yang Jun, serves as the deputy group of the Pediatric Immunology Group of the Chinese Medical Association. Chang, leader of the Immunology Group of the Guangdong Provincial Pediatric Society.

The team is dedicated to the diagnosis and treatment of children with primary immunodeficiency diseases, rheumatic diseases, allergic diseases and auto-inflammatory diseases.

In order to facilitate the treatment of children with JIA, a biological agent subcutaneous injection clinic is opened every Saturday. Specialists and nurses will protect the healthy growth of children with JIA.