Physical growth: Both the disease and the drugs like steroids can lead to stunted growth. This fact should be kept in mind and regular checks of the child's height and comparison with the average normal for that particular age must be made. Every effort must be made to keep the steroid dose at a minimum. Calcium and Vitamin D supplements are to be taken with steroid therapy.

Absence from school: As the disease is often characterized by remission and exacerbations, the child may lose days in school. The parents and the treating rheumatologist should make it a point to inform and counsel the teachers regarding this aspect of the disease.

Emotional problems: A child afflicted by a chronic disease often has complex emotional problems. These may need the assessment by an expert in child psychology.


Last created on 07-09-2002
Last updated on 01-07-2006