ACR Convergence 2025| Video: Rheum for Everyone, Episode 26—Ableism

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Experts Discuss Draft of New JIA Guideline

Thomas R. Collins  |  Issue: December 2025  |  November 18, 2025

  • Ophthalmic screening every three months is now strongly recommended for patients at high risk for uveitis.
  • Intra-ocular or periocular GC injections are conditionally recommended against as part of therapy.
  • Starting a DMARD is conditionally recommended in patients who are newly diagnosed with clinically active uveitis and require topical GC, with no time frame for waiting before systemic treatment can begin.
  • Starting adalimumab is conditionally recommended as the first bDMARD over other DMARDs.
  • Using an above-standard JIA dose of a TNFi is conditionally recommended when starting treatment.
  • Starting methotrexate is now conditionally recommended as the first csDMARD over other csDMARDs.

Volunteers Welcome

Dr. Onel said more help for updating the guideline is always welcome. “It’s a lot of work. If people are interested, please volunteer,” she said. “It’s really necessary.”


Thomas R. Collins is a freelance medical writer based in Florida.

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Filed under:ACR ConvergenceClinical Criteria/GuidelinesConditionsMeeting ReportsPediatric Conditions Tagged with:ACR Convergence 2025JIA GuidelineJIA-associated uveitisJIA-associated uveitis guidelinejuvenile idiopathic arthritis (JIA)pediatric arthritisUveitis

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