Leflunomide in systemic onset Juvenile idiopathic arthritis.

Indian Pediatr

Department of Paediatrics, Post Graduate Institute of Medical Education and Research, Dr Ram Manohar Lohia hospital, New Delhi, India.

Published: September 2012

AI Article Synopsis

  • Methotrexate is the primary treatment for Juvenile idiopathic arthritis but may not work for all patients, especially those with polyarticular and systemic onset forms.
  • The next level of treatment involves biological drugs like TNF-a blockers, but their high costs can limit accessibility for some patients.
  • Leflunomide was successfully used as a treatment option in four patients who may not have responded well to Methotrexate.

Article Abstract

Methotrexate, the mainstay of treatment in Juvenile idiopathic arthritis, might not be effective in a few patients of polyarticular and systemic onset juvenile idiopathic arthritis. Use of biologicals like TNF-a blockers, the next line of preferred drugs is constrained by the high cost. We successfully used leflunomide in four patients.

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Source
http://dx.doi.org/10.1007/s13312-012-0139-9DOI Listing

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