Juvenile Idiopathic Arthritis — Non-Pharmacologic Therapies, Medication Monitoring, Immunizations, and Imaging
Key Points
Key Points
- Non-pharmacologic therapies
- Tailored monitoring for medication toxicity by pharmacologic agent
- Importance of immunizations for all children with juvenile idiopathic arthritis ( JIA)
- Judicious use of imaging modalities
- Importance of shared decision-making with the patient/caregiver
Treatment
Treatment
...rmacologic Therapies
...ion of healthy, age-appropriate diet is str...
...a specific diet to treat JIA is stro...
...emental or herbal interventions specifical...
...occupational therapy (PT/OT) are condition...
...ion Monitoring...
...al anti-inflammatory drugs (NSAIDS): Monito...
...: Monitoring via CBC counts, LFTs, and re...
Decreasing the methotrexate dosage or with...
...c/folinic acid in conjunction with methotrexate...
...lazine: Monitoring via CBC counts,...
...easing the sulfasalazine dosage or with...
...e: Monitoring via CBC counts and LFTs...
...tering leflunomide administration is conditio...
...seline and annual retinal screening...
...ychloroquine: Monitoring via CBC count...
...necrosis factor inhibitors (TNFi): Monitoring...
...pt: Doing no routine laboratory monitorin...
...ia CBC counts and LFTs within the first...
...ring of lipid levels every 6 months is cond...
...tocilizumab administration is condi...
...itoring via CBC counts and LFTs within the...
...anakinumab: Monitoring via CBC counts an...
...CBC counts and LFTs within the first 1...
...pid levels 1–2 months after starting treat...
...ofacitinib administration is strongly recomm...
...n Surveillance/Immunizat...
...onsensus achieved. ( Very low , )...
...zation is conditionally recommended for ch...
...sis (TB) screening is conditionally recomme...
...tions (live and inactivated) are strongly r...
...activated influenza immunization i...
...accines are strongly recommended for children with...
...ttenuated vaccines are conditionally rec...
...are strongly recommended for household...
Imagin...
...of radiographs as a screening test prio...
...uidance is conditionally recommende...
...rventionsHaving trouble viewing table? Expand...
Medication MonitoringaHaving trouble viewing...