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Current Therapeutic Options for the Treatment of Juvenile Idiopathic Arthritis

Journal

CURRENT RHEUMATOLOGY REVIEWS
Volume 17, Issue 1, Pages 41-57

Publisher

BENTHAM SCIENCE PUBL LTD
DOI: 10.2174/1573403X16999200917151805

Keywords

JIA; classification criteria; ACR recommendation; treatment; csDMARDs; bDMARDs

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Juvenile idiopathic arthritis [JIA] is a chronic inflammatory disease that affects children under the age of 16 and has seen significant advancements in treatment, particularly with the introduction of biologic therapies. These treatments have revolutionized the management of JIA by preserving functional activity, controlling pain, and preventing joint damage. Additionally, international guidelines from institutions like the American College of Rheumatology have further improved the outcomes for patients with JIA.
Juvenile idiopathic arthritis [JIA] is a chronic inflammatory disease and an exclusion diagnosis that includes all forms of arthritis that persists for more than 6 weeks under the age of 16. Although there is not yet a cure for JIA, and recent advances in the therapeutic field have created a more hopeful present and future for the patients. In the past, therapies for JIA have depended on non-steroidal medication, conventional synthetic disease-modifying antirheumatic drugs and corticosteroids. However, over the last decades, the advent of biologic therapies in JIA contributed to the preservation of functional activity, control of pain, avoidance of joint damage, and extra-articular manifestations. Furthermore, over the last years, international institutions, such as the American College of Rheumatology, have released recommendations and guidelines for rheumatologists for optimal JIA management. All the above have revolutionized the treatment of JIA with promising outcomes. To this end, the relevant literature is reviewed and discussed appropriately.

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