OLIGOARTICULAR JUVENILE IDIOPATHIC ARTHRITIS: EARLY DIAGNOSIS AND TREATMENT IN ORDER TO PREVENT CHRONIC JOINT DAMAGE

Authors

  • Dragana Lazarević Clinic of Pediatrics, Rheumatologist, University Clinical Center Niš, Faculty of Medicine
  • Maja Zečević University of Niš, Faculty of Medicine

DOI:

https://doi.org/10.46793/PP240127010L

Keywords:

juvenile idiopathic arthritis, oligoarticular juvenile idiopathic arthritis, treatment

Abstract

The oligoarticular subtype of juvenile idiopathic arthritis (JIA) clinically defines the presence of arthritis in fewer than five joints in the first six months of the disease. If arthritis affects less than five joints thought the disease, then we are talking about persistent oligoarthritis. If arthritis affects 5 or more joints after 6 months from the disease onset, we are talking about an extended form of oligoarthritis. In recent decades, JIA etiopathogenesis novelties and genetic engineering improvement enabled new therapeutic strategies which have improved the disease course and clinical outcome. The modern concept of treatment ensured better quality of life, reduced disease activity and subjective complaints, enabled normal children growth, preserved joint functionality and prevented onset of disability and work incapacity. The modern concept of JIA treatment tends to individualize treatment approach. Compared to other subtypes of JIA, the oligoarticular form has the best prognosis, especially if we are talking about the persistent subtype of oligoarthritis.

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Published

03/21/2024

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Section

Review Articles