Good disease control , with therapeutic escalation to achieve low disease activity , was recommended .
OBJECTIVE To develop treatment recommendations for children with juvenile idiopathic arthritis manifesting as non-systemic polyarthritis , sacroiliitis , or enthesitis .
Pain relief in the rheumatoid knee after steroid injection. A single-blind comparison of hydrocortisone succinate, and triamcinolone acetonide or hexacetonide.
Since the introduction of intra-articular steroid therapy 40 yr ago there have been many changes in the treatment of rheumatoid patients . Previous studies suggest differing times of response for the same agents . This study reports the response , measured by a five-point pain chart , of 300 patients with painful rheumatoid knees . Sixty received hydrocortisone succinate ( HC ) , 150 received triamcinolone acetonide ( TA ) , and 120 triamcinolone hexacetonide ( TH ) . Results demonstrated little effect with HC , but good responses with TA and TH . More patients were rendered painfree for a longer time with TH ; 18 % at 12 weeks , as against 9 % with TA ( chi 2 test P < 0.005 ) . At 12 weeks 59 % showed continued improvement with TH as against 44 % with TA ( chi 2 test P < 0.05 ) . TH is the preferred preparation for injection of the rheumatoid knee
Good disease control , with therapeutic escalation to achieve low disease activity , was recommended .
OBJECTIVE To develop treatment recommendations for children with juvenile idiopathic arthritis manifesting as non-systemic polyarthritis , sacroiliitis , or enthesitis .