title: Juvenile arthritis: current concepts in terminology, etiopathogenesis, diagnosis, and management.
abstract: The latest change in terminology from juvenile rheumatoid arthritis (JRA) to juvenile idiopathic arthritis (JIA), established by the International League of Associations for Rheumatology (ILAR), has resulted in some confusion for OMFS and other treating clinicians. JIA comprises a group of systemic inflammatory diseases that result in the destruction of hard and soft tissues in a single or multiple joints. In a significant number of patients, one or both temporomandibular joints (TMJ) are also involved. TMJ disease may be accompanied by pain, swelling, and limitation of motion, as well as mandibular retrognathism, open bite, and asymmetry. The purpose of this article is to provide a review, for the oral and maxillofacial surgeon, of the terminology, etiopathogenesis, diagnosis, and management of children with JIA.
authors.affiliation: Department of Surgery, Division of Oral and Maxillofacial Surgery, Emory University School of Medicine, Section of Dentistry/Oral and Maxillofacial Surgery, Children's Healthcare of Atlanta, Atlanta, GA, USA. Electronic address: sabram5@emory.edu.
authors.forename: S
authors.initials: S
authors.lastname: Abramowicz
authors.affiliation: Harvard Medical School, Rheumatology Program, Boston Children's Hospital, Boston, MA, USA.
authors.forename: S
authors.initials: S
authors.lastname: Kim
authors.affiliation: Departments of Pediatrics and Human Genetics, Emory University School of Medicine, and Children's Healthcare of Atlanta, Atlanta, GA, USA.
authors.forename: S
authors.initials: S
authors.lastname: Prahalad
authors.affiliation: Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, Harvard School of Dental Medicine, Boston, MA, USA.
authors.forename: A F
authors.initials: AF
authors.lastname: Chouinard
authors.affiliation: Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, Harvard School of Dental Medicine, Boston, MA, USA.
authors.forename: L B
authors.initials: LB
authors.lastname: Kaban
mesh_terms: D018771:Arthralgia / Q000209:etiology; D001171:Arthritis, Juvenile / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D019468:Disease Management; D006801:Humans; D024343:Open Bite / Q000209:etiology; D013704:Temporomandibular Joint; D013705:Temporomandibular Joint Disorders / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D009626:Terminology as Topic
keywords: children; juvenile idiopathic arthritis; temporomandibular joint