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
...reatmen...
...harmacologic Therapies...
...cussion of healthy, age-appropriate diet is s...
...a specific diet to treat JIA is strongly recomm...
Use of supplemental or herbal interv...
...occupational therapy (PT/OT) are conditionall...
Medication Monitoring
...ti-inflammatory drugs (NSAIDS): Monitoring...
...ethotrexate: Monitoring via CBC counts, LFTs,...
...ng the methotrexate dosage or withholding m...
...inic acid in conjunction with methotrexate...
...: Monitoring via CBC counts, LFTs, and r...
...he sulfasalazine dosage or withholding sul...
...nomide: Monitoring via CBC counts and LFTs within...
...ing leflunomide administration is conditionally r...
...eline and annual retinal screening after...
...ydroxychloroquine: Monitoring via CBC counts and L...
...rosis factor inhibitors (TNFi): Monit...
...atacept: Doing no routine laboratory m...
...BC counts and LFTs within the first 1–2...
...ring of lipid levels every 6 months is conditiona...
...ocilizumab administration is conditiona...
...oring via CBC counts and LFTs within the fir...
...kinumab: Monitoring via CBC counts and LFTs w...
...ng via CBC counts and LFTs within the first 1–...
...oring of lipid levels 1–2 months a...
...ering tofacitinib administration is strongl...
...on Surveillance/Immuniza...
...onsensus achieved. ( Very low , )608...
Immunization is conditionally recommen...
...is (TB) screening is conditionally reco...
...(live and inactivated) are strongl...
...l inactivated influenza immunization is strongly...
...d vaccines are strongly recommended...
...vaccines are conditionally recommended against...
...s are strongly recommended for househol...
Imagin...
...of radiographs as a screening test prio...
...guidance is conditionally recommend...
...es of InterventionsHaving trouble viewing table?...
Medication MonitoringaHaving trouble viewing...