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Juvenile chronic arthritis: epidemiology and genetics

Article Abstract:

Juvenile chronic arthritis (JCA) is a common childhood rheumatic condition and there are various types of JCA, systemic, polyarticular and pauciarticular, all behaving differently. The cause is not known, but could be the result of a disorder of the auto-immune system, possibly activated by stress. There is research into the role of human leukocyte antigens and cytokines in JCA. Treatment is usually supportive rather than curative, concentrating on simple measures to begin with, followed by the systematic selection of other options, which may involve the use of drugs such as aspirin or other nonsteroidal anti-inflammatory drugs.

Rheumatoid arthritis in children, Juvenile rheumatoid arthritis

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Signs and symptoms of systemic lupus erythematosus

Article Abstract:

Systemic lupus erythematosus (SLE) is an autoimmune disease with many different signs and symptoms. It is multisystemic, it can be either acute or chronic, and it can co-exist with other autoimmune diseases. Muscoloskeletal features may include arthritis, and a pulmonary manifestation is likely to be pleuritic chest pain. The disease has a range of haematological, cutaneous, neurological and psychiatric manifestations. Kidney and cardiac problems are common. The disease is more prevalent amongst black people and menstruating women, and the survival rate at 5 years has increased to over 90%.

Analysis

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Managing systemic lupus erythematosus

Article Abstract:

Nursing a patient with systemic lupus erythematosus (SLE) involves a range of activities due to the disease's flare and remission pattern and its multisystemic nature. Nursing management comprises disease monitoring, prevention of acute flares, patient education and psychological support. Support and education may include family counselling and advice on rest and exercise. Monitoring may include monitoring the effects of drug treatments, including immunosuppressive therapies and corticosteroids.

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