Juvenile idiopathic arthritis – a new outlook

ABSTRACT

Juvenile idiopathic arthritis is the most common paediatric rheumatic disease, and can cause long-term joint damage or vision loss due to uncontrolled inflammatory uveitis. The outcomes for patients with juvenile idiopathic arthritis have significantly improved recently with advances in pharmacotherapy.

KEY POINTS

    • Juvenile idiopathic arthritis (JIA) affects one to four in 1000 Australian children.

    • Careful history and thorough clinical examination are essential in detecting and confirming arthritis.

    • There is no diagnostic marker or antibody test for JIA; it is a diagnosis of exclusion.

    • Early referral of the patient to a paediatric rheumatologist will facilitate early effective treatment.

    • Biologic agents are increasingly used for children with JIA, with an excellent safety and efficacy profile.

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