Most children who have hypoparathyroidism occurs in the first years of life, it has autoimmune nature. Some patients with acquired hypoparathyroidism were found antibodies to the extracellular domain of a calcium receptor.
Pediatric rheumatology, the health of the baby. Organization of pediatric rheumatologists.
Osteopenia is a pathology characterized by low bone mass in a particular age.
A child with juvenile rheumatoid arthritis is in the group of high risk, nedostaje adequate bone mass in postpubertatne period. Introduction dual-energy x-ray absorptiometry allowed us to assess the degree of osteopenia in these children led to the realization of the scale of the problem. When this disease affects the peripheral skeleton, and trabecular bone of the spine, but the first in more. Osteopenia in children is correlated with activity of the disease and its severity. Other associated factors are reduced physical activity, immobility, reduced sun exposure and decreased calcium intake and vitamin D from food. It is known that peak bone mass is usually achieved in adolescence, which is important to minimize the risk of osteoporosis and fractures in the future. Often in juvenile rheumatoid arthritis bone density in puberty does not reach the anticipated increase. In patients with severe polyarthritis discovered osteopenic axial lumbar spine and femoral neck. In a two-year prospective controlled study of early juvenile idiopathic arthritis, including JRA, psoriatic arthritis and ankylosing spondylitis, there was a slight reduction in the increase of bone mass, bone remodeling, and total lean mass.
The treatment of this disease is quite complicated. It can heal not in every clinic. If you are not satisfied with the results, you should pay attention to the treatment in Israel, for example on the company Adar medical. The details can be found on its website adarmedic.ru.
Therapy osteopenia in children includes strengthening exercises, proper nutrition, calcium and vitamin D as well, and this is key, sufficient suppression of disease activity (systemic inflammation). In his early works demonstrated the effectiveness of bisphosphonates, although their use had adverse effects. To increase consumption of dietary calcium may be recommended for active learning. In addition to General osteopenia in the affected joints in the early stages are defined areas of subchondral demineralization. Regular monitoring is recommended densitometry.
The local disturbance of growth in juvenile arthritis in children occurs as a result of inflammation and a concomitant increase in vascularization that may lead either to excessively rapid growth or lack of growth of the affected bone. Detecting local disorders of growth – an important element of diagnosis of juvenile arthritis.
The article shows the prevalence and health and social significance of acute rheumatic fever in children in the world and Ukraine. Presents modern approaches to diagnosis, treatment, conduct primary and secondary prevention of this disease are shown.
With the aim of improving the quality of life of people with disorders of the musculoskeletal system the who has declared 2000-2010 the "Decade of bones and joints" (The Bone and Joint Decade). Because their lesions are a common cause of chronic pain syndromes and disability. So, we must raise awareness about this disease, and interventions aimed at reducing suffering and social consequences of diseases of the joints, spine, Oost-oporose, severe limb injuries and orthopaedic disorders. To achieve this goal encouraged the participation of patients in the fight against their illnesses, promotes cost-effective prevention and treatment, funded research work in this direction.