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Lifetime of Arthritis Has Not Held Back Teen
Date:12/23/2010

By Dennis Thompson
HealthDay Reporter

THURSDAY, Dec. 23 (HealthDay News) -- Liz Smith has six kids, and her fifth child has juvenile arthritis.

The first signs of arthritis in Emily, now 18, appeared when she was just 2½ years old, said Smith, who lives in Burke, Va. "She slipped in a swimming pool and had a swollen ankle that never got better," her mother said. "That was the beginning of all of it."

For several months, the family agonized over whether Emily's ankle was sprained or broken, but then other joints started swelling. Her middle finger on one hand swelled to the point that her older brothers teased her about flipping them off.

Emily underwent a series of bone scans and blood tests to look for leukemia, bone infection or bone cancer -- "fun stuff like that," Smith said. "Once all of that was ruled out, the folks at the hospital said, 'We think she needs to see a rheumatologist.'"

The specialist checked Emily's health records and gave her an examination, and in short order determined that the young girl had juvenile arthritis. Her family received the diagnosis just before her third birthday.

"For us, the diagnosis was a relief," Smith recalled. "We didn't quite understand we were in this for the long haul. It took some time for us to come to grips with that. The dream changes from the hope that one day this will all be gone and you can forget about it, to hoping that she is able to live a full and productive life doing all of the things she wants to do."

Emily has taken arthritis medication ever since the diagnosis. "The one attempt to get her off meds was disastrous," Smith said of the effort about a month before Emily's seventh birthday. "It lasted three weeks. We had these three wonderful, medication-free weeks, and then she woke up one morning and couldn't get out of bed on her own. And then it got worse. It got a lot worse before it got better. It took a stronger medication cocktail and
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