Baum J
Am Fam Physician. 1983 Mar;27(3):133-9.
Aspirin remains the cornerstone of treatment for juvenile arthritis, although tolmetin may be more effective in controlling the fever of systemic-onset disease. Tolmetin and naproxen appear to be more effective in HLA-B27 positive males with pauciarticular disease. When the nonsteroidal anti-inflammatory drugs fail, gold, penicillamine and, occasionally, immunosuppressive agents may be used in the polyarticular forms. Prosthetic joint replacement may be beneficial for patients with extensive disease. The emotional and sexual problems of children with chronic disease require recognition and help.
阿司匹林仍然是青少年关节炎治疗的基石，尽管托美丁在控制全身发病型疾病的发热方面可能更有效。托美丁和萘普生似乎对少关节型疾病的 HLA - B27 阳性男性更有效。当非甾体抗炎药无效时，金制剂、青霉胺以及偶尔使用的免疫抑制剂可用于多关节型。人工关节置换术可能对患有广泛性疾病的患者有益。患有慢性病的儿童的情感和性问题需要得到认识和帮助。
