Juvenile arthritis.

Abstract

Juvenile arthritis encompasses a group of chronic arthritides in childhood with unclear etiologies. Careful clinical observation has led to categorization and nomenclature identifying three main subtypes of the disease, each with varying natural histories and prognoses. Management centers around antiinflammatory drugs, long-term disease-modifying agents, physical and occupational therapy, joint replacement, and ongoing psychosocial assessment and care. The majority of patients achieve reasonable control of their symptoms and are able to attain independent and satisfying adult lives.