Juvenile rheumatoid arthritis (JRA), often referred to by doctors today as juvenile idiopathic arthritis (JIA), is a type of arthritis that causes joint inflammation and stiffness for more than six weeks in a child aged 16 or younger. It affects approximately 50,000 children in the United States.
Arthritis causes joint swelling (inflammation) and joint stiffness. JIA is arthritis that affects one or more joints for at least 6 weeks in a child age 16 or younger. Unlike adult rheumatoid arthritis, which is ongoing (chronic) and lasts a lifetime, children often outgrow JIA.
Juvenile idiopathic arthritis is the most common form of juvenile arthritis and includes six types: oligoarthritis, polyarthritis, systemic, enthesitis-related, juvenile psoriatic arthritis and undifferentiated.
Some JIA patients with oligoarthritis were diagnosed with RA, and others with spondyloarthritis (SpA) – a type of arthritis that attacks the spine, especially the low back. Almost all kids with enthesitis-related JIA were reclassified as having SpA.
Juvenile rheumatoid arthritis (JRA) is characterized by several subtypes, whereas RA is more homogeneous. There are differences in outcome: adults with RA tend to have a poorer outcome; in JRA, the outcome is more variable and can be predicted by phenotypes at presentation.
JIA used to be called juvenile rheumatoid arthritis (JRA), but the name changed because it is not a kid version of the adult disease. The term “juvenile arthritis” is used to describe all the joint conditions that affects kids and teens, including JIA.
The most common type of childhood arthritis is juvenile idiopathic arthritis (JIA), also known as juvenile rheumatoid arthritis. Childhood arthritis can cause permanent physical damage to joints. This damage can make it hard for the child to do everyday things like walking or dressing and can result in disability.
There is no single test to diagnose JRA. A doctor will take a detailed medical history and do a thorough physical exam. In addition, he or she may also order: X-rays.
The annual incidence of adult JRA is estimated to be about 0.16 cases per 100,000 persons with equal distribution between the sexes. There is a bimodal age distribution with one peak between 15 and 25 years and the second between the ages of 36 and 46 years, though cases have been described in patients as old as 70.
Treatment for juvenile rheumatoid arthritis is aimed at stopping inflammation to preserve normal function of the joints and other organ systems. Treatments may include: Non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen and naproxen (Aleve), to reduce pain and swelling.
The mean age at death was 20.3 (range: 11-30) in JIA patients and 23.1 (range: 9-29) years in the control group, (p=0.17). Cumulative mortality in JIA was 0.6% (95% Cl 0.3-1.2) compared to 0.6% (95% Cl 0.4-1.0) in the controls; (hazard ratio 1.44, 95% Cl 0.70-2.95).
Juvenile rheumatoid arthritis is the most common form of arthritis affecting children. It is a swelling of the joints that is characterized by heat and pain. Arthritis can be short-term, lasting just a few weeks or months and then disappearing - or it may be chronic and last for months, years or even a lifetime.
Juvenile idiopathic arthritis (JIA) is the most common type of arthritis in kids and teens. About 10% to 20% of children with JIA have a rare and serious subtype called systemic juvenile idiopathic arthritis (SJIA).
M08.0 is a non-billable ICD-10 code for Unspecified juvenile rheumatoid arthritis. It should not be used for HIPAA-covered transactions as a more specific code is available to choose from below.
A “code also” note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction. The sequencing depends on the circumstances of the encounter.
Childhood arthritis, also known as juvenile arthritis (JA), is any form of arthritis or arthritis-related conditions which affects individuals under the age of 16.
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code M08.2. Click on any term below to browse the alphabetical index.