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
...reatme...
...Pharmacologic Therapies...
...discussion of healthy, age-appropriate die...
...e of a specific diet to treat JIA is s...
...of supplemental or herbal interventions specific...
...ysical and occupational therapy (PT/OT...
...cation Monitorin...
...idal anti-inflammatory drugs (NSAIDS): Monitori...
...otrexate: Monitoring via CBC counts, LFTs,...
...ng the methotrexate dosage or withholding...
...ic/folinic acid in conjunction with...
...zine: Monitoring via CBC counts, LFTs, and...
...creasing the sulfasalazine dosage or withho...
...mide: Monitoring via CBC counts and...
...mide administration is conditionally recomme...
...seline and annual retinal screening aft...
...quine: Monitoring via CBC counts and...
...factor inhibitors (TNFi): Monitorin...
...atacept: Doing no routine laboratory monitorin...
...onitoring via CBC counts and LFTs within th...
...ng of lipid levels every 6 months is c...
...izumab administration is conditionally recommend...
...itoring via CBC counts and LFTs within...
...Monitoring via CBC counts and LFTs within the fi...
...CBC counts and LFTs within the fir...
...f lipid levels 1–2 months after...
...g tofacitinib administration is stron...
Infection Surveillance/Imm...
...achieved. ( Very low , )608...
...is conditionally recommended for children wi...
Tuberculosis (TB) screening is condition...
...(live and inactivated) are strongly recommended...
...l inactivated influenza immunization is st...
...ted vaccines are strongly recommended for...
...tenuated vaccines are conditionally...
...are strongly recommended for househol...
...aging
...ographs as a screening test prior to...
Imaging guidance is conditionally r...
...nterventionsHaving trouble viewing tab...
...ion MonitoringaHaving trouble viewing table? Expan...