[Juvenile idiopathic arthritis-Diagnosis and management].

IF 0.9 4区 医学 Q4 RHEUMATOLOGY
Zeitschrift fur Rheumatologie Pub Date : 2025-03-01 Epub Date: 2025-02-17 DOI:10.1007/s00393-025-01626-y
Normi Brück, Christiane Reiser, Prasad Thomas Oommen, Tatjana Welzel
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引用次数: 0

Abstract

Juvenile idiopathic arthritis (JIA) is the most common chronic rheumatic disease in children and adolescents. Currently, JIA is classified into seven categories according to the International League of Associations for Rheumatology (ILAR) criteria. Diagnosis is primarily clinical and involves excluding age-specific differential diagnoses, which can be particularly challenging in very young children. Early and effective treatment is crucial to minimize disease burden, chronic morbidity and reduced quality of life. Treatment strategies depend on the JIA category and comorbidities. The treatment should follow consensus treatment plans/strategies published by the German initiative Protocols for Classification, Monitoring and Therapy in Pediatric Rheumatology (ProKind) considering the treat-to-target strategy. Since a significant number of patients continue to have symptoms into adulthood, a well-structured transition from pediatric to adult rheumatology care is essential.

青少年特发性关节炎的诊断和治疗。
青少年特发性关节炎(JIA)是儿童和青少年中最常见的慢性风湿病。目前,JIA根据国际风湿病协会联盟(ILAR)的标准分为7类。诊断主要是临床诊断,包括排除年龄特异性的鉴别诊断,这在非常年幼的儿童中尤其具有挑战性。早期和有效的治疗对于尽量减少疾病负担、慢性发病率和降低生活质量至关重要。治疗策略取决于JIA的类型和合并症。治疗应遵循德国倡议的儿科风湿病分类、监测和治疗协议(ProKind)公布的共识治疗计划/策略,考虑治疗到目标策略。由于相当数量的患者在成年后仍有症状,因此从儿科到成人风湿病护理的良好结构过渡是必不可少的。
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来源期刊
Zeitschrift fur Rheumatologie
Zeitschrift fur Rheumatologie 医学-风湿病学
CiteScore
2.20
自引率
20.00%
发文量
150
审稿时长
6-12 weeks
期刊介绍: Die Zeitschrift für Rheumatologie ist ein international angesehenes Publikationsorgan und dient der Fortbildung von niedergelassenen und in der Klinik tätigen Rheumatologen. Die Zeitschrift widmet sich allen Aspekten der klinischen Rheumatologie, der Therapie rheumatischer Erkrankungen sowie der rheumatologischen Grundlagenforschung. Umfassende Übersichtsarbeiten zu einem aktuellen Schwerpunktthema sind das Kernstück jeder Ausgabe. Im Mittelpunkt steht dabei gesichertes Wissen zu Diagnostik und Therapie mit hoher Relevanz für die tägliche Arbeit – der Leser erhält konkrete Handlungsempfehlungen. Frei eingereichte Originalien ermöglichen die Präsentation wichtiger klinischer Studien und dienen dem wissenschaftlichen Austausch.
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