Juvenile Rheumatoid Arthritis

Sign/Symptoms
Eye: Sensitive to Light (Photophobia) Fever (Raised Body Temperature) Joints Red Joints Stiff Joints Swollen Limp Or Limping Lymph Nodes Swollen (Glands) Mind: Lethargy Muscle Deterioration (Rhabdomyolysis) Pain Eyes Pain Joint (Arthralgia) Pain Muscle (Myalgia) Skin Rash

Drugs
Celecoxib Cortisone Etanercept Hydroxychloroquine Ibuprofen Naproxen Penicillamine Prednisone

Treatments
Alternative Medicine Kava (Piper Methysticum) No Recommendation Very Low Evidence Lifestyle Changes Increase Exercise Strongly in Favour Moderate Evidence Regular Exercise (30 Minutes A Day) Weakly in Favour Moderate Evidence

Attributes

Our Records are Incomplete for Condition Attributes

Further Tests
Alkaline Phosphatase (ALP) Concentration Alkaline Phosphatase (ALP) (Increased) Apolipoprotein B Concentration Apolipoprotein B (Apo B) (Decreased) Creatinine Concentration (Blood, Serum Creatinine) Creatinine (Blood) (Increased) Eosinophils Count Eosinophils (Decreased) erythrocyte Sedimentation Rate (ESR) Erythrocyte Sedimentation Rate (Increased) Ferritin Concentration Ferritin (Increased) Fibrinogen Concentration test Fibrinogen (Increased) haptoglobin (Hp) concentration haptoglobin (Hp) (Increased) Heamatocrit (Hct) RBC Mass (Decreased) Hemoglobin (Hb) Concentration Hemoglobin (Hb) (Decreased) Mean Corpuscular Hemoglobin (MCH) Weight Test Hemoglobin (Hb) (Decreased) Monocyte Absolute Count Monocytes (Increased) Neutrophil Absolute Count Segmented Neutrophils (Increased) Platelet Count Platelets (Increased) Protein Electrophoresis (Blood, Serum Protein) Albumin (Blood) (Decreased) Alpha-2-Globulin (Blood, Serum) (Increased) Gamma Globulin (Blood, Serum) (Increased) Red Blood Cell (RBC) Count Red Blood Cells (RBC) (Decreased) Urine Amylase Excretion Rate Urine Amylase (Increased) White Blood Cell (WBC) Count White Blood Cell (WBC) (Increased)

Efficacy of Alternative and Other Treatments According to GRADE* Ranking:

Kava (Piper Methysticum) [1, 2, 3, 4, 5]:

WARNING: In rare cases, kava may lead to liver failure and other life threatening problems. The FDA warns that those who have had liver problems, or are on medicacations which may affect the liver, patients should check with their doctors before taking Kava. Other side effects include headache, upset stomach, drowsiness, weight loss, bloody urine, and muscle weakness.

Recommendation: weakly in favor (There is insufficient evidence to support claims that Kava helps to treat Rheumatism. More research is needed)

Grade of Evidence: low quality of evidence

Aconite (Aconitum Napellus, Monkshood, Fu-Tzu):

Please note, this management does NOT treat the condition itself, and it not recomended for use because it is EXTREMELY TOXIC and can cause irregular heartbeat, heart failre, and death, even when only used only on the skin.

Recommendation: weakly against

Grade of Evidence: moderate quality of evidence

* www.gradeworkinggroup.org

Summary References

Treatments:

1. Ades T, Alteri R, Gansler T, Yeargin P, "Complete Guide to Complimentary & Alternative Cancer Therapies", American Cancer Society, Atlanta USA, 2009

2. http://www.publish.csiro.au/?act=view_file&file_id=SP05005.pdf

3. http://www.cancer.org/Treatment/TreatmentsandSideEffects/ComplementaryandAlternativeMedicine/HerbsVitaminsandMinerals/kava

4. http://www.kavazen.com/pages/library.htm#KavaZen and Kava Safety

5. http://nccam.nih.gov/health/kava/index.htm

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