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Primary Care Dec 1993Juvenile arthritis encompasses a group of chronic arthritides in childhood with unclear etiologies. Careful clinical observation has led to categorization and... (Review)
Review
Juvenile arthritis encompasses a group of chronic arthritides in childhood with unclear etiologies. Careful clinical observation has led to categorization and nomenclature identifying three main subtypes of the disease, each with varying natural histories and prognoses. Management centers around antiinflammatory drugs, long-term disease-modifying agents, physical and occupational therapy, joint replacement, and ongoing psychosocial assessment and care. The majority of patients achieve reasonable control of their symptoms and are able to attain independent and satisfying adult lives.
Topics: Arthritis, Juvenile; Child; Diagnosis, Differential; Humans
PubMed: 8310086
DOI: No ID Found -
Pediatrics in Review May 2017
Review
Topics: Arthritis, Juvenile; Child; Diagnosis, Differential; Humans; Prognosis
PubMed: 28461613
DOI: 10.1542/pir.2016-0148 -
European Journal of Radiology Feb 2000The chronic arthritides in childhood remain a poorly understood group of conditions. Their classification has been a source of much confusion over the years with... (Review)
Review
The chronic arthritides in childhood remain a poorly understood group of conditions. Their classification has been a source of much confusion over the years with differences in terminology between Europe and North America. A significant step forward in paediatric rheumatology has been the recent development of an internationally agreed classification system which uses the overall term juvenile idiopathic arthritis (JIA). The various subtypes of JIA and their clinical features are described, together with an overview of their differential diagnosis, complications and outcomes. An outline of current management strategies is given and potential future developments highlighted.
Topics: Arthritis, Juvenile; Child; Combined Modality Therapy; Diagnosis, Differential; Humans
PubMed: 10711514
DOI: 10.1016/s0720-048x(99)00161-8 -
Southern Medical Journal Feb 2005Juvenile arthritis is one of the most prevalent chronic diseases in the childhood period (ages 0 to 16 years). This disease was first defined in the first half of the... (Review)
Review
Juvenile arthritis is one of the most prevalent chronic diseases in the childhood period (ages 0 to 16 years). This disease was first defined in the first half of the 16th century. In the course of time, its differential diagnosis and characteristics have been determined, and it has been classified. Incidence and prevalence values are 10 to 20 in 100,000 and 56 to 113 in 100,000, respectively. Various factors are suggested for its underlying cause. Its denomination is also in dispute. Treatment of juvenile arthritis includes education, medical treatment, physical therapy, and occupational therapy. This article summarizes the objectives and methods of physical therapy and rehabilitation that are important parts of treatment.
Topics: Arthritis, Juvenile; Child; Humans; Joints; Massage; Physical Fitness; Physical Therapy Modalities
PubMed: 15759952
DOI: 10.1097/01.SMJ.0000146588.22557.A5 -
Radiologic Clinics of North America Jul 2013The diagnosis of juvenile idiopathic arthritis (JIA) is based on clinical and laboratory findings. However, there is mounting evidence of the imaging potential to... (Review)
Review
The diagnosis of juvenile idiopathic arthritis (JIA) is based on clinical and laboratory findings. However, there is mounting evidence of the imaging potential to accurately stage and evaluate disease activity. With new medications offering more aggressive and effective treatments, monitoring response to treatment becomes increasingly important. The use of more sensitive imaging modalities such as ultrasound and more importantly magnetic resonance imaging is gaining favor. The time has come to consider the incorporation of imaging in the scoring and evaluation of disease activity in JIA.
Topics: Adolescent; Arthritis, Juvenile; Child; Female; Forecasting; Humans; Magnetic Resonance Imaging; Male; Radiography
PubMed: 23830794
DOI: 10.1016/j.rcl.2013.03.003 -
JAAPA : Official Journal of the... Jan 2011
Review
Topics: Algorithms; Arthritis, Juvenile; Humans
PubMed: 21261143
DOI: 10.1097/01720610-201101000-00005 -
Nature Clinical Practice. Rheumatology Jan 2006Systemic juvenile idiopathic arthritis is a heterogeneous form of arthritis in childhood and represents 10-20% of all juvenile idiopathic arthritides in the Caucasian... (Review)
Review
Systemic juvenile idiopathic arthritis is a heterogeneous form of arthritis in childhood and represents 10-20% of all juvenile idiopathic arthritides in the Caucasian populations of Northern America and Europe. Up to 30% of patients will still have active disease after 10 years, and morbidity within this group is high. Secondary complications (e.g. growth failure, osteoporosis, deformities, and loss of function) and amyloidosis are the medical sequelae, but there are also serious developmental and social consequences. The medical treatment of patients who are at the more severe end of the disease spectrum is unsatisfactory; however, new therapies that might improve prognosis, such as autologous stem-cell transplantation and approaches for blocking interleukin-6 signaling, are currently being assessed in clinical trials.
Topics: Algorithms; Arthritis, Juvenile; Diagnosis, Differential; Growth Disorders; Humans; Osteoporosis; Prognosis; Stem Cell Transplantation; Treatment Outcome
PubMed: 16932649
DOI: 10.1038/ncprheum0084 -
Journal of Pediatric Nursing Apr 1997Juvenile arthritis is the fifth most common chronic illness in children. When a child is diagnosed with juvenile arthritis, the family must adjust in many ways in order... (Review)
Review
Juvenile arthritis is the fifth most common chronic illness in children. When a child is diagnosed with juvenile arthritis, the family must adjust in many ways in order to cope with the demands of this illness. This article provides an overview of the disease, presents the case history of two sisters with polyarticular arthritis, and discusses how nurses and other health team members can empower a family to manage more successfully with this disease and thereby enhance quality of life. Professional resources that aid families coping including educating the family about the disease, providing psychologic support, as well as knowledge and assistance for optimal physical functioning and maintaining energy reserves, and suggesting strategies to sustain self esteem, motivation and hope.
Topics: Adaptation, Psychological; Arthritis, Juvenile; Child; Child, Preschool; Family; Female; Humans; Male; Social Support
PubMed: 9103778
DOI: 10.1016/s0882-5963(97)80030-9 -
Annals of the Rheumatic Diseases Jul 2010Juvenile idiopathic arthritis (JIA) is not a disease but an exclusion diagnosis that includes all forms of chronic arthritis of unknown origin with onset before 16 years... (Review)
Review
Juvenile idiopathic arthritis (JIA) is not a disease but an exclusion diagnosis that includes all forms of chronic arthritis of unknown origin with onset before 16 years of age. The current classification identifies several different categories. While some of them appear to represent rather homogeneous entities others seem still to include heterogeneous conditions. The advent of the new biological treatments has dramatically changed both the observed responses to treatment and the expectations of treatments. International research networks of paediatric rheumatology have contributed to fostering the conduct of controlled clinical trials and also the development of validated outcome measures. However, despite a dramatic advance in the understanding of JIA categories, pathobiology and treatments, much remains to be done.
Topics: Adolescent; Antirheumatic Agents; Arthritis, Juvenile; Child; Humans; Rheumatology
PubMed: 20525835
DOI: 10.1136/ard.2010.133033 -
Journal of Clinical Rheumatology :... Dec 2021
Topics: Arthritis, Juvenile; Humans; Myocarditis
PubMed: 32956160
DOI: 10.1097/RHU.0000000000001600