Early Juvenile Idiopathic Arthritis

被引:11
|
作者
Marzan, Katherine Anne B. [1 ]
Shaham, Bracha [1 ]
机构
[1] USC, Childrens Hosp Los Angeles, Keck Sch Med, Div Rheumatol, Los Angeles, CA 90027 USA
关键词
Juvenile idiopathic arthritis; Early; Pediatric; Biologic therapy; Aggressive treatment; ALPHA MONOCLONAL-ANTIBODY; PLACEBO-CONTROLLED TRIAL; LONG-TERM SAFETY; RHEUMATOID-ARTHRITIS; OPEN-LABEL; DOUBLE-BLIND; ANKYLOSING-SPONDYLITIS; ETANERCEPT TREATMENT; EARLY PREDICTORS; TRIAMCINOLONE ACETONIDE;
D O I
10.1016/j.rdc.2012.04.006
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Early juvenile idiopathic arthritis (JIA) is important to recognize as timely diagnosis and treatment improves prognosis. It is a misconception that complications of JIA arise only from long-standing disease and that children will outgrow it. Early aggressive treatment is the paradigm as early disease activity has long-term consequences. There are predictors of persistent disease and joint erosions that may identify patients at higher risk. Control of disease activity within the first 6 months of onset confers improved clinical course and outcomes. The treatment perspective is thus one of early aggressive treatment for induction of disease control and ultimately remission.
引用
收藏
页码:355 / +
页数:20
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