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Lookup NU author(s): Dr Sharmila JandialORCiD, Emerita Professor Helen Foster
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Arthritis in children is common, and a major cause of potential morbidity, with significant long-term consequences, joint damage and disability if left untreated. Diagnosing Juvenile Idiopathic Arthritis (JIA) can be challenging, and relies heavily on clinical assessment; investigations are helpful to exclude other conditions, but are often normal in JIA at presentation. The history may be vague, and the child may be too young to verbalise symptoms; detailed probing for inflammatory symptoms and a comprehensive examination of the child's joints are therefore essential. If JIA is suspected, early referral to specialist multidisciplinary teams facilitates prompt treatment relief of symptoms, and achieves disease control. The emergence of novel and biologic agents, as well as earlier and more aggressive approaches to treatment, has helped to significantly improve clinical outcomes.
Author(s): Ratcliff C, Denman G, Jandial S, Foster H
Publication type: Article
Publication status: Published
Journal: Paediatrics and Child Health
Year: 2019
Volume: 29
Issue: 12
Pages: 503-514
Print publication date: 09/11/2019
Online publication date: 09/11/2019
Acceptance date: 17/10/2019
ISSN (print): 1751-7222
ISSN (electronic): 1878-206X
Publisher: Elsevier
URL: https://doi.org/10.1016/j.paed.2019.09.007
DOI: 10.1016/j.paed.2019.09.007
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