Why is Prompt, Aggressive Treatment of Juvenile Idiopathic Arthritis Necessary? In the last decade important changes have occurred regarding treatment of juvenile arthritis that can prevent long-term disabilities. Published studies demonstrate:
Why is Prompt, Aggressive Treatment of
Juvenile Idiopathic Arthritis Necessary?
In the last decade important changes have
occurred regarding treatment of juvenile arthritis that
can prevent long-term disabilities. Published studies
The majority of children with juvenile idiopathic
arthritis will continue to have active disease as
they enter adulthood. (this is discouraging!!!)
Persistent synovitis leads to joint deformity and
destruction and often occurs less than 2 years
following onset of disease.
Disruption of proper joint function predisposes
children and young adults to premature
osteoarthritis and a potential of lifetime disability.
Chronic disability from juvenile arthritis can stunt
the physical and psychological growth of a child,
and may disrupt family dynamics due to ongoing
psychological and economic stresses
What is Remission?
The first phase of remission is the achievement
which is defined as: no joints
with active arthritis; no fever, serositis, splenomegaly,
or generalized lymphadenopathy attributable to JIA; no
active uveitis; normal ESR or CRP; and a physician’s
global assessment of disease activity indicating no
disease activity.Clinical remission on medication
defined as inactive disease on medication for a full six
months, andclinical remission off medication
achieved when there is inactive disease off of medications
for a full 12 months. Although many children can
achieve clinical remission on medications, most will
have a flare of their arthritis within three years of
discontinuing medications. (Jacob was just past the 3 year point off meds!)
Can I just stress EARLY DIAGNOSIS IS THE KEY!!! After Jacob was in clinical remission for a few years I didn't give the arthritis another thought. I thought he had outgrown the disease. When his knee flared up this January it was a complete shock and by the extent of the overgrown synovium it had been coming on for a while. When he was seen by his rheumatologist in January it was on an 18mo. follow-up.