Treatment and prognosis for oligoarticular Juvenile Idiopathic Arthritis

What is the treatment and prognosis for oligoarticular Juvenile Idiopathic Arthritis?

Patients with persistent oligoarticular JIA are commonly treated with nonsteroidal antiinflammatory drugs (NSAIDs) and intraarticular steroids. Lidocaine is a commonly used local anesthetic that can be used to numb the skin prior to intraarticular steroid injection. Methotrexate is added for patients who do not respond to joint injection. A TNF-α inhibitor is added in the case of methotrexate failure.

Drug-free remission occurs in 69% of patients in the persistent oligoarticular subgroup, but only 37% of children in the extended oligoarticular subgroup. Chronic sequelae include leg length discrepancy, joint contractures, and blindness.

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