Management of Jaccoud's Arthropathy

Treatment Approach

• The American College of Rheumatology recommends considering adding methotrexate or azathioprine for inadequate response to first-line therapy, as these immunosuppressants are used for non-renal lupus manifestations 1
• For refractory cases, mycophenolate mofetil (MMF) has shown superiority over azathioprine in extrarenal SLE, though cost and teratogenicity are considerations 1
• Early recognition and treatment initiation are crucial, as emphasized by the Annals of the Rheumatic Diseases, to prevent progression of JA deformities 1
• Regular monitoring for progression and aggressive control of any underlying inflammatory activity are essential for effective management, as recommended by the Annals of the Rheumatic Diseases 1