Optimum Management of juvenile chronic polyarthritis.
Drugs
; 26(6): 530-42, 1983 Dec.
Article
em En
| MEDLINE
| ID: mdl-6418507
ABSTRACT
The early diagnosis of juvenile chronic polyarthritis rests on the recognition of 3 district modes of onset that are important in preventing deformities, blindness, and even death. Systemic onset is characterised by typical systemic features, including high spiking fever and rheumatoid rash; polyarticular onset is characterised by arthritis of more than 4 joints; and pauciarticular onset by involvement of 4 joints or less, most often a knee initially. Management must be individualised, including the use of non-steroidal anti-inflammatory drugs of which aspirin remains the drug of choice. The course of progressive polyarthritis, found in 15% of children, necessitates the additional use of slow-acting agents, such as intramuscular gold. Supportive measures include rest, splinting and exercise. Regular slit-lamp examination is mandatory to screen for asymptomatic iridocyclitis, which if undetected and untreated may result in blindness.
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Base de dados:
MEDLINE
Assunto principal:
Artrite Juvenil
Tipo de estudo:
Screening_studies
Limite:
Child
/
Humans
Idioma:
En
Ano de publicação:
1983
Tipo de documento:
Article