Yes, children can get Still's disease, though it is more common in adults. Still's disease is an uncommon form of inflammatory arthritis that is characterized by high fevers, joint pain, and a distinctive rash. It is also known as systemic juvenile idiopathic arthritis (SJIA) in children.
In children, Still's disease typically presents with recurrent fevers of over 39°C (102°F) that last for at least three days and occur at least once a week. The fevers are often accompanied by fatigue, sore throat, and swollen lymph nodes. Joint pain and swelling is also common and can affect any joint in the body. The joints may be warm, red, and tender to the touch. A distinctive, salmon-colored rash can also appear on the trunk and limbs and may be worse at night and during fevers. Other symptoms of Still's disease can include chest pain, weight loss, and enlarged liver and spleen.
If a child has these symptoms, it is important to get a diagnosis as soon as possible. To diagnose Still's disease, a doctor will perform a physical exam and order lab tests and imaging studies to look for signs of inflammation in the body. A biopsy of affected tissue may also be done. Treatment of Still's disease typically involves medications to reduce inflammation, such as non-steroidal anti-inflammatory drugs or corticosteroids, as well as physical therapy and lifestyle changes, such as avoiding activities that may cause further joint damage. In some cases, more aggressive treatments, such as biologic medications or immunosuppressive drugs, may be needed.
With proper diagnosis and treatment, children with Still's disease can often lead a normal, active life. It is important to work closely with your child's doctor to ensure that the best treatment plan is in place to manage their symptoms and prevent further damage.
