The 9-year-old baby caught a cold! Wet! Gross! The left eye is still blind! The baby cries and has a headache, don't take it seriously.

You don't even have to look at the weather forecast

The pain in my body

You can guess a close call:

The weather has changed again!

but

You may not imagine.

This disease is not exclusive to the elderly.

Many children have no hair.

Got rheumatism, too

Yao Yao is a lively and lovely little girl who likes dancing. She used to go to the dance studio for training every week. However, in recent months, her knees and ankles often hurt inexplicably.

"Are you hurt? Muscle sprain? I have been practicing a little hard recently. "

Strangely, Yao Yao's skin surface was not damaged or scratched. Mother put on some lotion and told her not to practice dancing recently and have a good rest.

However, after several days' rest, Yao Yao's knee still hurts. Her wrist, also began to dull pain.

Mom heard that when children grow up, they will have "growing pains" for a period of time. When it is well developed, it will naturally stop hurting. So, she didn't care too much. Every time Yao Yao cries for pain, she gives it a massage or hot compress.

Unexpectedly, trouble is coming-

That day, Yao Yao couldn't stand up in pain. Mother rolled up her trouser legs and gasped: the child's right knee is red and swollen, like a big steamed bun!

Too late to think about it, the mother quickly picked up the child and rushed to the local hospital. But orthopedics, Chinese medicine and rehabilitation have all been seen, traction, infrared light and acupuncture have all been tried, but it still doesn't work.

Helpless, the doctor pointed a way:

"May be rheumatism! Go to a higher hospital and have a look. "

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

Although with a grain of salt, they still dare not neglect, and quickly came to Shenzhen Children's Hospital and hung up the number of rheumatology immunology specialist.

This survey, the real hammer: juvenile idiopathic arthritis.

This is a chronic rheumatism in children. Its influence on children is mainly disability. If you make rapid progress, you will be disabled in three months. Seriously, you have to be in a wheelchair all the year round, and you can't take care of yourself. Some children may even be in danger.

After carefully examining the situation of Yao Yao, the doctor breathed a sigh of relief-

"Fortunately, come in time. If it is delayed, the child may be disabled or blind! "

This is really not an exaggeration. There were children who lost the chance to see the world forever because of delayed treatment:

In Huzhou, Zhejiang Province, a girl suffered from systemic juvenile idiopathic arthritis at the age of 9, and the treatment was not timely, which led to blindness in her left eye and only a vague shadow within 50 cm in her right eye.

After listening to the doctor's introduction, Yao Yao's family was surprised and scared.

However, why do children get this "geriatric disease"? Is it really not "growing pains"?

As long as the child screams bone pain, many numbness will think of "growth pain."

The so-called "growth pain" refers to the physiological pain caused by the rapid growth of long bones and the slow growth and development of local muscles and tendons.

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

If it is really growing pain, don't treat it. You can relieve yourself by taking a break. Hot compress and massage can also relieve pain.

Generally speaking, after children go to school, "growing pains" are rare. This is because children spend more time sitting in the classroom, while the time and amount of exercise are reduced.

therefore

Juvenile idiopathic arthritis

What's going on here?

Juvenile idiopathic arthritis (JIA) is actually a common rheumatism in childhood.

Every 1000 children, 1~ 15 have arthritis.

Juvenile idiopathic arthritis (JIA) is an autoimmune disease, that is, the autoimmune system "does not recognize" its own joint cells and attacks itself. The etiology of the disease is unknown, which may be related to abnormal immune regulation, environmental exposure and genetic factors.

Jia is common in children aged 5~ 12, and the incidence rate is about1.610000 ~15/10000. That is to say, for every 10000 children, 1~ 15 children will get this disease.

0 1 is a bone headache.

How to distinguish growth pain from arthritis?

It is not difficult to distinguish them, mainly in three places-

Growth pain: mostly in the afternoon, evening or late at night.

Arthritis: It often occurs in the morning, and children will feel particularly stiff when they wake up. Violence can also occur.

Pain site

Growth pain: mostly in lower limbs (such as thighs or calves)

Arthritis: concentrated in all joints of the whole body (wrist, knee or ankle, etc. )

The child shouted a bone headache.

What conditions should I see a doctor?

If the child keeps saying "bone headache" and has not improved for more than 2 weeks, he can't take it seriously.

If the child has no sprain, bump, joint swelling and pain, abnormal gait, or doesn't like walking or going out to play, don't hesitate to go to the pediatric rheumatology and immunology department for examination.

Especially for babies under 3 years old, it is rare to accurately explain the condition. It depends on the careful observation of the old mothers ~ ~

Special reminder:

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

The child was diagnosed with arthritis.

Is it cured well?

At present, juvenile idiopathic arthritis cannot be cured.

The golden period of Jia treatment is within 1 year of the first onset. As long as the treatment is timely, long-term and regular, 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 Jia's children.

Therefore, the most important thing is to find that children are always "bone headaches" and 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

Fever in children is the most common cause of infection. After anti-infection treatment, most of them can be cured within three to five days. However, there are two situations that need to be investigated for rheumatism:

One is high fever, which lasts for several hours and days after taking antipyretics, accompanied by rash or jealousy and red tongue;

The other is repeated fever for a long time, not necessarily high, lasting 1-3 months, accompanied by erythema, joint swelling and pain, oral ulcer, limb weakness, vascular disease and so on.

Strange rash

There are many kinds of rashes of rheumatism, which can be manifested as butterfly erythema, urticaria, bright red bleeding spots, dark red petechiae, big blisters and so on.

At this time, no matter how cool and Pi Yanping are, it will not help. In these cases, rheumatic immune diseases should be investigated.

Always an oral ulcer

Stomach ulcer gets angry.

Persistent oral ulcer may be caused by abnormal autoimmune function, and may be the main manifestation of systemic lupus erythematosus, Behcet's disease and even immunodeficiency.

Muscle weakness

The child used to be alive and kicking, but now he can't even squat in the toilet, his hands are not high, and he is tired of going up two flights of stairs. Parents should be careful. This may be immune myopathy.

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

Dry eyes and mouth

This is a performance that parents can easily ignore, but it is also easy to recognize.

Children often rub their eyes and want to drop eye drops, which is dry eye; If you usually eat potato chips, bread or steamed bread, you must swallow it with water. That's dry mouth.

Children (especially girls) with the above manifestations must be alert to whether there is Sjogren's syndrome.

Ladies and gentlemen,

The beast that was originally jumping up and down

If it suddenly becomes quiet,

Be sure to observe carefully.

It's time to send a doctor, don't delay! !

Department profile

The Department of Rheumatology and Immunology of Shenzhen Children's Hospital is a specialty in Guangdong Province and a key discipline in Shenzhen. Yang Jun, the academic leader, is the deputy head of Pediatric Immunology Group of Chinese Medical Association and the head of Immunology Group of Guangdong Pediatric Society.

The team is committed to the diagnosis and treatment of primary immunodeficiency, rheumatic diseases, allergic diseases and inflammatory diseases in children. In order to facilitate the majority of Jia children to see a doctor, a subcutaneous injection clinic of biological agents is opened every Saturday, and specialists and nurses escort Jia children's healthy growth.