This website uses cookies to give you the best experience. By continuing to use this website you are consenting to cookies being used. You can delete and block cookies from within your browsers settings. For more information please refer to our privacy and cookie policy page.

Continue

Care pathways

Children with JIA often have a complex pathway to care and may present in various ways to primary or secondary care. 

Common presentations include:

  • Limp.
  • Functional difficulties (such as walking, handwriting, playing sport). 
  • Joint pain and swelling. 

Very young children may not verbalise symptoms and rather than complain of pain, may present with limpregression of milestones such as walking, ability on stairs or avoidance of activities that they previously enjoyed. Being prone to falling or 'clumsy' are clearly non-specific and may have other causes but a change in ability is important and inflammatory joint disease should be considered. 

There are many key players, in nursing, health visiting and school health who may notice change and are key to facilitate referral to medical care to establish a diagnosis

School nurses, teachers and nursery workers may notice change (handwriting, play, sport, general well-being, pain).

School nurses may be alerted to change (well-being, fatigue, physical abilities, pain).

Children may also present to the dentist (with jaw problems), the eye specialist (ophthalmologist, with uveitis and eye symptoms), orthopaedic or hand surgeon (deformity, pain or functional limitation) or to a paediatrician (with fever, rash and joint pain).

If Juvenile Idiopathic Arthritis (JIA) is suspected, then referral to a paediatric rheumatology team for specialist assessment should NOT be delayed. 

Early referral to specialist teams facilitates prompt treatment and prevention of complications including joint damage, contractures, and disability. 

Many children will do very well on treatment and will go into disease remission.

Site Statistics

To date (end of August 2018) pmm has >353,000 hits and >125,400 users from 202 countries!

Why register?

Some parts of pmm which involve pictures or videos of children, can only be viewed by registered users. Registering also allows you to bookmark favourite pages and track your viewing.

find out more

Short online courses

from Newcastle University, UK

e-resources from PMM

pmm for you

Please help us ensure pmm is as useful to you as possible by completing this short survey

complete survey