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Juvenile idiopathic arthritis: an update for the clinician
1New York University School of Medicine, Division of Pediatric Rheumatology, New York, NY 10016, USA. philip.kahn@nyumc.org
Insights
Juvenile idiopathic arthritis (JIA) is a chronic childhood arthritis causing pain and deformity. Newer biologic therapies offer targeted treatment, improving outcomes and research towards a potential cure.
Area of Science:
- Pediatric Rheumatology
- Immunology
- Pharmacology
Background:
- Juvenile idiopathic arthritis (JIA) is a prevalent chronic childhood arthritis with unknown etiology.
- It can lead to severe joint damage, growth issues, and persistent adult arthritis.
- Historically, treatments were non-specific with considerable side effects.
Purpose of the Study:
- To review the clinical characteristics of JIA.
- To provide current and emerging pharmacotherapy updates for JIA management.
Main Methods:
- Literature review of clinical features and pharmacotherapy for JIA.
- Analysis of advancements in targeted biologic therapies.
- Discussion of ongoing translational research and clinical trials.
Main Results:
- JIA presents with chronic joint inflammation in children, potentially leading to long-term complications.
- Biologic agents represent a significant advancement, offering targeted and better-tolerated treatment options.
- Ongoing research aims to elucidate disease mechanisms for improved therapies and potential cures.
Conclusions:
- JIA requires comprehensive management strategies.
- Biologics have transformed JIA treatment, enhancing efficacy and tolerability.
- Future research holds promise for more effective treatments and a cure for JIA.
Abstract:
Juvenile idiopathic arthritis (JIA) comprises a collection of all forms of chronic arthritis in childhood with no apparent cause. JIA is the most common rheumatic disease in children, and may result in significant pain, joint deformity, and growth impairment, with persistence of active arthritis into adulthood. Prior to the mid 1990s, the therapeutic armamentarium for JIA was more limited, utilizing non- specific agents, many with significant adverse effects. With the relatively recent use of biologics, one can provide more target-specific therapy, which may be better tolerated. Through continued translational research and clinical trials, one better understands the biology mediating disease, with the hope of offering safer, more effective medicine, and potential cure. This review will outline the clinical features of JIA, as well as provide the latest updates in current and future pharmacotherapy.
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