{"title":"Juvenile idiopathic arthritis (JIA)","authors":"","doi":"10.1002/9781119548447.ch10","DOIUrl":"https://doi.org/10.1002/9781119548447.ch10","url":null,"abstract":"ANKYLOSING SPONDYLITIS (AS) For initial authorization: 1. Member must be 18 years of age or older with active AS; AND 2. Must have a documented negative TB test (i.e. tuberculosis skin test (PPD), an interferon-release assay (IGRA), or a chest x-ray) within 6 months prior to starting therapy; AND 3. Medication must be prescribed by a rheumatologist; AND 4. Member has had back pain for 3 months or more that began before the age of 45; AND 5. Current imaging results show an inflammation of one or both of the sacroiliac joints; AND 6. Member shows at least one of the following signs or symptoms of Spondyloarthritis: a) Arthritis; b) Elevated serum C-reactive protein; c) Inflammation at the tendon, ligament or joint capsule insertions; d) Positive HLA-B27 test; e) Limited chest expansion; f) Morning stiffness for 1 hour or more; AND 7. Member meets at least one of the following scenarios: a) Member has Axial (spinal) disease; b) Member has peripheral arthritis without axial involvement and has tried and failed treatment with methotrexate or sulfasalazine. Treatment failure requires at least 3 months of therapy without an adequate response; AND 8. Member has tried and failed to respond to treatment with at least 2 prescription NSAIDs taken at the maximum recommended dosages. Treatment failure requires at least 4 weeks of therapy without an adequate response. 9. Dosage allowed: Inject 50 mg subcutaneously once weekly. Prior to any dosages or dosing frequencies greater than listed, medical necessity documentation must be supplied to justify coverage.","PeriodicalId":348995,"journal":{"name":"Rapid Paediatrics and Child Health","volume":"278 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124397623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Delayed puberty","authors":"","doi":"10.1002/9781119548447.ch4","DOIUrl":"https://doi.org/10.1002/9781119548447.ch4","url":null,"abstract":"Epidemiology Exact prevalence of delayed puberty is not known. Variations in normal puberty occur in approximately 3% of children. [3] CDGP, also called simple delay, is more common in boys than in girls. [4] There is a strong correlation within families and ethnic communities for age at puberty. 50-75% of those with CDGP have a family history of delayed puberty. [5] Idiopathic hypogonadotropic hypogonadism (IHH) has an incidence of 1-10 cases per 100,000 births. [6] It accounts for around 10% of cases of delayed puberty in boys. [1] Delayed puberty in around 5-10% of boys is caused by hypergonadotropic hypogonadism, most often due to Klinefelter's syndrome. [1]","PeriodicalId":348995,"journal":{"name":"Rapid Paediatrics and Child Health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130084895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Appendix 4: Examination of the Newborn","authors":"","doi":"10.1002/9781119548447.app4","DOIUrl":"https://doi.org/10.1002/9781119548447.app4","url":null,"abstract":"","PeriodicalId":348995,"journal":{"name":"Rapid Paediatrics and Child Health","volume":"116 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114500961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Appendix 3: Formal Assessment of the Neonate at Birth","authors":"","doi":"10.1002/9781119548447.app3","DOIUrl":"https://doi.org/10.1002/9781119548447.app3","url":null,"abstract":"","PeriodicalId":348995,"journal":{"name":"Rapid Paediatrics and Child Health","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121419331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}