Tratamiento de la artritis idiopática juvenil con infiltraciones articulares de acetónido de triamcinolona

García-Consuegra Molina, J.; Merino Muñoz, R.

doi:10.1016/S1695-4033(00)77469-8

Article information

Objetivo

Evaluar la respuesta terapéutica a las infiltraciones intraarticulares con acetónido de triamcinolona en pacientes con artritis idiopàtica juvenil.

Método

Ochenta y ocho pacientes fueron evaluados prospectivamente después de recibir una o màs inyecciones intraarticulares de acetónido de triamcinolona. Fueron inyectadas un total de 194 articulaciones: 68 de 39 niños con una forma de comienzo oligoarticular, 36 de 17 con una forma poliarticular, 67 de 20 niños con un comienzo sistémico de la enfermedad y 23 en 12 pacientes con espondiloartropatía.

Resultados

En 131 de las 194 articulaciones infiltradas se consiguió una remisión de los signos inflamatorios (67,5%). El porcentaje de remisión fue significativamente menor en el grupo correspondiente a enfermos con una forma sistémica (36 frente a un 80% en los otros grupos). A los 6 meses el 70% de las articulaciones que habían remitido permanecía libre de recaída. No hubo complicaciones significativas.

Conclusiones

Las inyecciones intraarticulares con triamcinolona son una opción terapéutica segura y eficaz para el control de los niños con artritis idiopàtica

Palabras clave:

Artritis Idiopàtica Juvenil

Corticoïdes intraarticulares

Keywords:

Juvenile idiopathic arthritis

Intra-articular corticosteroids

Objective

To evaluate the therapeutic response to intraarticular triamcinolone acetonide injections in patients with juvenile idiopathic arthritis

Method

Eight-eight patients were prospectively evaluated after receiving one or more intraarticular triamcinolone acetonide injections. A total of 194 joints were injected: 68 joints in 39 children with oligoarticular onset juvenile idiopathic arthritis, 36 joints in 17 children with polyarticular onset, 67 joints in 20 children with systemic onset, and 23 joints in 12 children with spondyloarthropathy

Results

Full resolution of signs of inflammation was achieved in 131 of 194 joints (67.5%). The percentage of remission was significantly lower in patients with systemic onset of the disease (36% versus 80% in the other groups). At the 6-month follow-up, 70% of the joints remained in remission. No significant complications were observed.

Conclusions

Intraarticular triamcinolone injections are safe and effective in children with chronic arthritis

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