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Management of JIA oligoarticular

Answer

The management of juvenile idiopathic arthritis (JIA) with an oligoarticular presentation involves a stepwise approach, starting with nonsteroidal anti-inflammatory drugs (NSAIDs), followed by intra-articular corticosteroids, disease-modifying antirheumatic drugs (DMARDs), and potentially biologic agents. Regular monitoring of disease activity and response to treatment is required.

Initial therapy

Subsequent therapy

Monitoring

Personalized approach

In conclusion, the management of oligoarticular JIA involves a stepwise approach, starting with NSAIDs and intra-articular corticosteroids, followed by DMARDs and potentially biologic agents if the response is inadequate. Regular monitoring of disease activity and response to treatment is crucial, and a personalized approach considering genetic markers and biomarkers may optimize management strategies

References

1

Juvenile idiopathic arthritis

Medical management

Guidelines

Management of oligoarticular JIA (corticosteroids)

Pathway
ACR 2022