Rheumatoid arthritis juvenile

Treatment

Severe restriction of regular activity, together with the administration of painkillers and penicillin to eliminate any remaining strep from the previous infection. Steroids or salicylates may be used depending on the severity of the joint pain. Antibiotic treatment may be continued daily for many years to prevent recurrences of rheumatic fever, which are most likely to occur during the first three years after the initial attack. Antibiotics are usually continued until the child reaches age 18. While bed rest used to be part of treatment, it is no longer considered to be helpful.

Complications

Heart inflammation occurs in about half of all patients and can lead to congestive heart failure. It is one of the most common causes of the need for heart valve replacement.

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