Bridges John M, Mellins Elizabeth D, Cron Randy Q
Children's of Alabama/University of Alabama at Birmingham, Birmingham, Alabama, USA.
Department of Pediatrics, Program in Immunology, Stanford University, Stanford, California, USA.
Fac Rev. 2021 Feb 26;10:23. doi: 10.12703/r/10-23. eCollection 2021.
Juvenile idiopathic arthritis (JIA) is a chronic inflammatory disease affecting the joints and other organs that occurs in 1 in 1,000 children in the United States. Given the various categories of JIA, interpretation of the literature can be difficult. In this review, new developments in understanding non-systemic JIA and its treatment will be covered. Recent advances in the journey toward personalized treatment in JIA will be highlighted, including a review of currently available biologic modifiers. Uveitis and the temporomandibular joint will be discussed as particularly challenging treatment issues. Recent guideline updates and literature-guided treatment decisions will be reviewed.
青少年特发性关节炎(JIA)是一种影响关节和其他器官的慢性炎症性疾病,在美国每1000名儿童中就有1人患病。鉴于JIA有多种类型,对相关文献的解读可能会很困难。在本综述中,将涵盖对非系统性JIA及其治疗理解的新进展。将重点介绍JIA个性化治疗进程中的最新进展,包括对目前可用的生物修饰剂的综述。葡萄膜炎和颞下颌关节将作为特别具有挑战性的治疗问题进行讨论。还将回顾近期指南更新以及基于文献的治疗决策。