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
...Trea...
...Non-Pharmacologic...
...scussion of healthy, age-appropriate diet...
...e of a specific diet to treat JIA is strongly reco...
...pplemental or herbal interventions specific...
...cal and occupational therapy (PT/OT) are...
...Medi...
...n-steroidal anti-inflammatory drugs (NSAIDS): Moni...
...trexate: Monitoring via CBC counts, LFTs,...
...methotrexate dosage or withholding meth...
...inic acid in conjunction with methotrexate i...
...lazine: Monitoring via CBC counts, LFTs, an...
...asing the sulfasalazine dosage or withholdi...
...e: Monitoring via CBC counts and LFTs...
...ering leflunomide administration is conditional...
...ne and annual retinal screening after starting...
...xychloroquine: Monitoring via CBC...
...r necrosis factor inhibitors (TNFi): Monitorin...
...tacept: Doing no routine laboratory...
...onitoring via CBC counts and LFTs withi...
...f lipid levels every 6 months is c...
...tocilizumab administration is conditiona...
...Monitoring via CBC counts and LFTs wi...
...Monitoring via CBC counts and LFTs with...
...onitoring via CBC counts and LFTs wit...
...of lipid levels 1–2 months after starting trea...
...ing tofacitinib administration is s...
...Infection Surve...
...consensus achieved. ( Very low , )...
...ization is conditionally recommend...
...osis (TB) screening is conditionally re...
...ns (live and inactivated) are strongl...
...tivated influenza immunization is strongly re...
...ated vaccines are strongly recommended...
...attenuated vaccines are conditionally rec...
...s are strongly recommended for household cont...
...Imagin...
...se of radiographs as a screening t...
...uidance is conditionally recommended fo...
...ses of Interventions Nonsteroidal ant...
...Monitoringa Test Me...