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Juvenile rheumatoid arthritis

Korean Journal of Pediatrics 2007;50(12):1173-1179.
Published online December 15, 2007.
Juvenile rheumatoid arthritis
Dong Soo Kim
Department of Pediatrics, College of Medicine, Yonsei University, Severance Children's Hospital, Seoul, Korea
소아기 류마티스 관절염
김동수
연세대학교 의과대학 소아과학교실, 세브란스 어린이병원
Correspondence: 
Dong Soo Kim, Email: dskim6634@yuhs.ac
Abstract
The diagnosis of juvenile rheumatoid arthritis (JRA) is based on patient's age at disease onset, symptom duration, gender, and clinical manifestations. JRA is of unknown origin, begins under the age of 16, and persists for a minimum of 6 weeks. JRA is categorized into three principal types, systemic, oligoarticular and polyarticular. Infection, other connective tissue diseases, malignancy, trauma, and immunodeficiency are discussed as differential diagnoses for JRA. Because of joint damage, focusing on early diagnosis and intervention, a vigorous initial therapeutic approach must be taken in patients who have poor prognostic factors. A multidisciplinary team approach is also important for the care of patients with JRA.
Key Words: Juvenile rheumatoid arthritis, Diagnosis, Treatment


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