title: Clinical management algorithm of uveitis associated with juvenile idiopathic arthritis: interdisciplinary panel consensus.
abstract: Uveitis associated with juvenile idiopathic arthritis (JIA) typically involves the anterior chamber segment, follows an indolent chronic course, and presents a high rate of uveitic complications and a worse outcome as compared to other aetiologies of uveitis. Disease assessment, treatment, and outcome measures have not been standardized. Collaboration between pediatric rheumatologists and ophthalmologists is critical for effective management and prevention of morbidity, impaired vision, and irreparable visual loss. Although the Standardization of Uveitis Nomenclature Working Group recommendations have been a great advance to help clinicians to improve consistency in grading and reporting data, difficulties arise at the time of deciding the best treatment approach in the individual patient in routine daily practice. For this reason, recommendations for a systematized control and treatment strategies according to clinical characteristics and disease severity in children with JIA-related uveitis were developed by a panel of experts with special interest in uveitis associated with JIA. A clinical management algorithm organized in a stepwise regimen is here presented.
authors: Pediatric Rheumatology Unit, Universitat de Barcelona, Passeig Sant Joan de Déu 2, Esplugues de Llobregat, 08950, Barcelona, Spain, rbou@hsjdbcn.org.
authors: Rosa
authors: R
authors: Bou
authors: Alfredo
authors: A
authors: Adán
authors: Fátima
authors: F
authors: Borrás
authors: Beatriz
authors: B
authors: Bravo
authors: Inmaculada
authors: I
authors: Calvo
authors: Jaime
authors: J
authors: De Inocencio
authors: Jesús
authors: J
authors: Díaz
authors: Julia
authors: J
authors: Escudero
authors: Alex
authors: A
authors: Fonollosa
authors: Carmen García
authors: CG
authors: de Vicuña
authors: Victoria
authors: V
authors: Hernández
authors: Rosa
authors: R
authors: Merino
authors: Jesús
authors: J
authors: Peralta
authors: María-Jesús
authors: MJ
authors: Rúa
authors: Pilar
authors: P
authors: Tejada
authors: Jordi
authors: J
authors: Antón
mesh_terms: D000069594:Abatacept / Q000627:therapeutic use; D000068879:Adalimumab / Q000627:therapeutic use; D060433:Administration, Ophthalmic; D000305:Adrenal Cortex Hormones / Q000627:therapeutic use*; D000465:Algorithms; D061067:Antibodies, Monoclonal, Humanized / Q000627:therapeutic use; D018501:Antirheumatic Agents / Q000627:therapeutic use*; D001171:Arthritis, Juvenile / Q000150:complications*; D002648:Child; D002675:Child, Preschool; D003299:Cooperative Behavior; D019468:Disease Management; D006801:Humans; D000069285:Infliximab / Q000627:therapeutic use; D008727:Methotrexate / Q000627:therapeutic use; D009184:Mydriatics / Q000627:therapeutic use*; D009885:Ophthalmology; D012219:Rheumatology; D012720:Severity of Illness Index; D014605:Uveitis / Q000150:complications / Q000188:drug therapy*; D014792:Visual Acuity
chemical_list: D000305:Adrenal Cortex Hormones; D061067:Antibodies, Monoclonal, Humanized; D018501:Antirheumatic Agents; D009184:Mydriatics; D000069594:Abatacept; D000069285:Infliximab; D000068879:Adalimumab; C502936:tocilizumab; D008727:Methotrexate
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