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Dr shridhar jia children and young people with arthritis.ppt 121011
1. Children with Arthritis (JIA) Dr A Sridhar, Consultant Paediatrician, UHL NHS Trust, Leicester
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Notas del editor
Systemic form is asso with HLA DR4 Oligoarhritis HLA DR5
Intial Rx NSAIDS to reduce inflammation in affected joints and avoid long term damage to joints. Second choice drugs - DMARDS – slow acting - anti rheumatic drugs to induce disease remission or to sloe its evolution Steroids injected into some joints to rapidly help improvement, after first drainage off any fluid in that joint that may be restricting movement. Prednisolone – s-e – inhibtion of structural growth and premature appearance of osteoporosis