Novel algorithm for screening, treating, and monitoring uveitis in children with juvenile idiopathic arthritis

Abstract

Uveitis is the most common extraarticular manifestation of juvenile idiopathic arthritis (JIA); if not diagnosed and treated in time, it can lead to severe complications and loss of vision. This report describes a novel algorithm for screening, treating, and monitoring uveitis in children with JIA. Ophthalmic screening of children with JIA is based on individual risk factors for uveitis. Treatment strategies include use of local glucocorticoids at the initial stage, followed by non-biological and then biological immunosuppressive drugs in severe or refractory cases. Therapy initiation and discontinuation schemes are detailed, and the need for further research is emphasized.

Keywords

uveitis / juvenile idiopathic arthritis / children / screening / monitoring / glucocorticoids / methotrexate / adalimumab / golimumab / infliximab

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