Once JRA, now RA?

The way this question is answered depends on semantics. Technically, you have juvenile onset disease that has persisted into adulthood. I would personally still consider you to have juvenile rheumatoid arthritis for this reason.

The difference is that adult-onset patients tend to more commonly have antibodies such as rheumatoid factor associated with their illness, and juvenile onset patients more commonly go into remission (even though this is not true for your disease). In practical terms, we would probably treat you with the same drugs we would use to treat pediatric patients, only in different doses.

Perhaps just as importantly, since you are now an adult and still have active disease, we could get insurance coverage for all of the drugs that we would use in treating adult RA.

I hope this helps.