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Published on: May 16, 2025
[Juvenile idiopathic arthritis. II. Treatment and prognosis]
Pierre Quartier1, Anne-Marie Prieur
1Unit d'immunologie-hématologie et rhumatologie pédiatriques, Centre de référence national labellisé Arthrites juvéniles, hôpital Necker-Enfants malades, 75743 Paris. quartier@necker.fr
Immunosuppressants, including methotrexate and more recently anti-TNFalpha, have modified the prognosis of the most severe forms juvenile idiopathic arthritis. However, the therapeutic management is still challenging and adjuvant therapies, including physiotherapy, surgery, or even bisphosphonates and growth hormone, are still widely used to limit the negative impact of an extended general corticotherapy.
Immunosuppressants, including methotrexate and more recently anti-TNFalpha, have modified the prognosis of the most severe forms juvenile idiopathic arthritis. However, the therapeutic management is still challenging and adjuvant therapies, including physiotherapy, surgery, or even bisphosphonates and growth hormone, are still widely used to limit the negative impact of an extended general corticotherapy.
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