Lilly Trautwein was a precocious, active two-year-old when her parents noticed that one of her knees was swollen while on a family vacation. Her parents, both physicians, considered the possible diagnoses, clouded both fear and some denial. After several weeks, the symptoms had progressed to the point that she was barely able to walk and was in significant pain especially in the mornings.
Following a trip to the pediatrician, a definitive diagnosis of juvenile rheumatoid arthritis was made at the Children's Hospital of Los Angeles. This was initially treated with local joint injections, but when the other knee and then her eyes became involved it was clear that a more systemic approach to treatment was necessary. With the help of the doctors initially at Children's Hospital of Los Angeles and now with Dr. Miriam Parsa in Santa Barbara, Lilly's arthritis has been very well-controlled.
She is now a very active seven-year-old who enjoys playing soccer, running around, climbing trees, playing basketball, tennis, and virtually any other activity that one can think of. She has to take weekly injections of medication which have some unpleasant side effects, but overall has been able to live a full, happy, and active life as a child.
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