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
...eatment...
...on-Pharmacologic Therap...
...n of healthy, age-appropriate diet is...
...of a specific diet to treat JIA is stro...
...pplemental or herbal interventions specificall...
...and occupational therapy (PT/OT) are c...
...cation Monitori...
...anti-inflammatory drugs (NSAIDS): Monito...
...ate: Monitoring via CBC counts, LFTs, and...
...methotrexate dosage or withholding methotrexate...
.../folinic acid in conjunction with methotrexate is...
...lazine: Monitoring via CBC counts, LFTs, and rena...
...easing the sulfasalazine dosage or withholding su...
...eflunomide: Monitoring via CBC counts and LFT...
...nomide administration is conditionally recom...
...nnual retinal screening after starting hy...
Hydroxychloroquine: Monitoring via CBC counts and...
...sis factor inhibitors (TNFi): Moni...
...no routine laboratory monitoring is c...
...ia CBC counts and LFTs within the first 1â...
Monitoring of lipid levels every 6 mont...
...ocilizumab administration is condi...
...itoring via CBC counts and LFTs within the first...
...Monitoring via CBC counts and LFTs with...
...CBC counts and LFTs within the firs...
...nitoring of lipid levels 1–2 months a...
...ring tofacitinib administration is strongly...
...on Surveillance/Immunization...
...ensus achieved. ( Very low ,...
...ion is conditionally recommended for childre...
...(TB) screening is conditionally recommended prior...
...tions (live and inactivated) are strongl...
...activated influenza immunization is strongly re...
...tivated vaccines are strongly reco...
...ed vaccines are conditionally recommended against...
...accines are strongly recommended for...
Imagin...
...adiographs as a screening test prio...
...ing guidance is conditionally recommen...
...asses of InterventionsHaving trouble...
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