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Oligoarticular JIA — SCE Rheumatology MCQ

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HardPaediatric rheumatologyOligoarticular JIASCE Rheumatology

A child has persistent knee synovitis from oligoarticular JIA with an early flexion contracture. Infection has been excluded. What is the preferred initial local strategy?

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Correct answer: A — Intra-articular glucocorticoid injection with contracture-directed physiotherapy

Active oligoarticular JIA is commonly treated with intra-articular glucocorticoid, while physiotherapy restores extension and limits contracture. Systemic DMARD escalation is considered for persistent, recurrent or extending disease rather than replacing effective initial local care.

Reference: 2021 ACR guideline for oligoarticular juvenile idiopathic arthritis (Published March 2022): https://pmc.ncbi.nlm.nih.gov/articles/PMC10124899/; 2021 ACR guideline for non-pharmacological care in juvenile idiopathic arthritis (Published March 2022): https://pmc.ncbi.nlm.nih.gov/articles/PMC10127939/