11th May 2024

A 12-year-old child presents with a six-month history of morning stiffness and swelling in multiple joints, including both knees and wrists.

A 12-year-old child presents with a six-month history of morning stiffness and swelling in multiple joints, including both knees and wrists. The child’s parents express concern about the child’s decreased participation in sports and difficulty with fine motor activities at school. Upon examination, the physician notes active arthritis in five joints.

Which is the most appropriate management option for this child?