Juvenile Idiopathic Arthritis Flashcards
Juvenile Idiopathic Arthritis is also called
Juvenile Rheumatoid Arthritis
Five or more inflamed joints, often involving weight-bearing joints.
Polyarticular
less than five inflamed joints. Large, weight-bearing joints, such as the knees and ankles, are typically affected.
Oligoarticular
A form of JIA that often involved attachments of ligaments as well as the spine.
Enthesitis-related arthritis
Enthesitis-related arthritis is sometimes called as
Spondylarthritis
characterized by spiking fevers, typically occurring once or twice each day, at about the same time of day, with temperature returning to normal or below normal.
Systemic-onset JIA
frequently presents as evening and postexercise pain.
Enthesitis-related arthritis
Therapeutic management for Enthesitis-related arthritis?
Attention should be given to buttock pain and back pain
are the analgesics of choice for children with JIA
NSAIDs such as Ibuprofen (Motrin) or Naproxen (Naprosyn)
NSAIDs are taken about
four times a day and must be taken at least 6 to 8 weeks to ensure effectiveness
is the second drug usually prescribed for JIA
Methotrexate, a cytotoxic drug.
These drugs reduce inflammation by blocking the action of TNFs which causes inflammation/
Etanercept (Enbrel) or Infliximab (Remicade)