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Review
. 2023 Sep 1;35(5):293-297.
doi: 10.1097/BOR.0000000000000950. Epub 2023 Jun 19.

Challenges in treating juvenile idiopathic arthritis

Marinka Twilt  1 , Peter Stoustrup  2 , Dax Rumsey  3
Affiliations
Review

Challenges in treating juvenile idiopathic arthritis

Marinka Twilt et al. Curr Opin Rheumatol. .

Abstract

Purpose of review: Juvenile idiopathic arthritis (JIA) diagnosis and classification is currently still based on clinical presentation and general laboratory tests. Some joints such as the temporomandibular joint (TMJ) and sacroiliac (SI) are hard to assess and define as actively inflamed based on clinical examination. This review addresses these difficult to assess joints and provides the latest evidence for diagnosis and treatment.

Recent findings: Recommendations on clinical examination and radiological examination are available. Recent 2021 ACR recommendations were made for TMJ arthritis and in 2019 for sacroiliitis.

Summary: New evidence to guide clinical suspicion and need for further investigations are available for these hard to assess joints. These guidelines will help healthcare providers in diagnosis and treatment assessment.

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References

    1. Petty RE, Southwood TR, Manners P, et al. International League of Associations for Rheumatology classification of juvenile idiopathic arthritis: second revision, Edmonton, 2001. J Rheumatol 2004; 31:390–392.
    1. Stoustrup P, Resnick CM, Pedersen TK, et al. Standardizing terminology and assessment for orofacial conditions in juvenile idiopathic arthritis: international, multidisciplinary consensus-based recommendations. J Rheumatol 2019; 46:518–522.
    1. Rahimi H, Twilt M, Herlin T, et al. Orofacial symptoms and oral health-related quality of life in juvenile idiopathic arthritis: a two-year prospective observational study. Pediatr Rheumatol Online J 2018; 16:47.
    1. Kristensen KD, Stoustrup P, Küseler A, et al. Clinical predictors of temporomandibular joint arthritis in juvenile idiopathic arthritis: a systematic literature review. Semin Arthritis Rheum 2016; 45:717–732.
    1. Buchanan P, Vodapally S, Lee DW, et al. Successful diagnosis of sacroiliac joint dysfunction. J Pain Res 2021; 14:3135–3143.

MeSH terms