Still’s disease

Slow disease of the connective tissue in childhood (juvenile rheumatoid arthritis). The disease is rare. It usually manifests itself between the ages of two and five. The cause’is still not entirely clear. A distinction is made between the systemic form, showing symptoms of disease elsewhere in the body, and a form which involves only abnormalities in one or two joints. Symptoms of the systemic form are varying fever, loss of appetite, irritability and pains in the joints with swelling, particularly of ankles and wrists. A patchy skin eruption sometimes occurs as well. The pericardium and lungs may also be affected. Treatment is by medication (aspirin), physiotherapy and warm baths. The course of the disease is harmless in 75 per cent of cases.