Juvenile idiopathic arthritis (JIA) is the most common chronic rheumatic disease of childhood. A case report of a girl with JIA illustrates common clinical practice of suboptimal management of a patient with typical manifestations of the rare disease.
Chronic anterior uveitis belongs to the most devastating extraarticular manifestations of JIA which is commonly more difficult to treat than arthritis. Treatment algorithm follows principles of remission induction and maintenance, though optimal timing and treatment choices fitting individual patient needs require significant expertise.
In case of the presence of JIA uveitis monoclonal antibodies against tumour-necrosis factor should be prescribed upon the failure of standard therapies with topical corticosteroids and methotrexate.