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
...eatmen...
...harmacologic Therapi...
...ssion of healthy, age-appropriate diet...
...c diet to treat JIA is strongly rec...
...ntal or herbal interventions specifically to...
...cupational therapy (PT/OT) are condi...
Medication Mon...
...steroidal anti-inflammatory drugs (NSAIDS): Monito...
...hotrexate: Monitoring via CBC counts...
...ng the methotrexate dosage or withholdin...
.../folinic acid in conjunction with m...
...: Monitoring via CBC counts, LFTs,...
...creasing the sulfasalazine dosage or wi...
...nomide: Monitoring via CBC counts and LFTs with...
...ering leflunomide administration is co...
...and annual retinal screening after star...
...xychloroquine: Monitoring via CBC counts and LFT...
...mor necrosis factor inhibitors (TNFi): Moni...
...oing no routine laboratory monitoring is condition...
...g via CBC counts and LFTs within the first 1–2...
...lipid levels every 6 months is conditionall...
...ocilizumab administration is conditionally r...
...inra: Monitoring via CBC counts and LFTs wi...
...itoring via CBC counts and LFTs wit...
...CBC counts and LFTs within the first...
...itoring of lipid levels 1–2 months afte...
...ng tofacitinib administration is stron...
...on Surveillance/Immunizations...
...sensus achieved. ( Very low , )...
...conditionally recommended for children...
...B) screening is conditionally recommend...
...ive and inactivated) are strongly r...
...activated influenza immunization is st...
Inactivated vaccines are strongly re...
...attenuated vaccines are conditionally recommen...
...nes are strongly recommended for househol...
...aging
...f radiographs as a screening test prior to a...
...ing guidance is conditionally recommended for use...
...lasses of InterventionsHaving trouble view...
...n MonitoringaHaving trouble viewing t...