Aggressive is best
Kids require aggressive treatment to prevent growth abnormalities and to put their disease into remission.
There is no cure now and it is not self-limited. Kids should be followed by a board certified pediatric rheumatologist and almost all will need weekly low dose Methotrexate
and a tnf inhibitor. Larger joints can also be easily injected with a long acting corticosteroid. Nsaids
are not enough.