Algorithmen zur Entwicklung von Therapiekonzepten bei juveniler idiopathischer Arthritis (JIA)

Successfull treatment of juvenile idiopathic arthritis involves cooperation of physicians, specialized medical centres and allied health workers. Planning of therapeutic strategies has to consider the individual problems of each patient. Potential dangers of the therapy should be weighted against the expected benefit. Recently there has been substancial progress in the area of immunosuppressive treatment. Thus successfull treatment with a minimum of side effects should be avaiable to most of our patients. With special respect to new strategies of medical treatment we have developed algorithms to different subtypes of JIA, which have been designed according to the nomenclature of the ILAR and are the result of comparative analyses of therapeutic strategies in the pediatric rheumatology centres of Erlangen, Nuremberg and Greifswald. Additionally a carefull review of the literature has been performed. The algorhithmic shemes have not been designed as a therapeutical standard. The intension is to set up a discussion platform in order to develop multicenter therapeutical standards. For that purpose we would strongly encourage anyone engaged with JIA to participate.