Joint Approach to Juvenile Idiopathic Arthritis (JIA) JIA is a clinical diagnosis - Diagnostic criteria: • One of more joints involved • Length of arthritis > 6 weeks • Onset at age < 16 years old • Rule out other etiologies Physical Exam: • Watch how they walk in • Make the exam like gym class! • Evaluate for symmetry • Look for signs of chronicity ex. leg length difference Treatment - Aggressive treatment at initiation is warranted to preserve joint function. Multidisciplinary treatment is ideal! • 1st line: Methotrexate • 2nd line: Add on a biologic #Juvenile #Idiopathic #Arthritis #JIA #pediatrics #peds #diagnosis
