According to the American College of Rheumatology, remission is a period when arthritis symptoms and physical exam findings disappear. Only your child's doctor can decide when your child's juvenile arthritis is in remission. To do that, he will need to examine your child thoroughly, because arthritis is considered active if even one joint is inflamed.
Criteria for inactive disease
- NO joints with active arthritis
- NO fever, rash, serositis (inflammation of the tissues lining the lungs; heart; abdomen, or organs within; no enlargement of the spleen or lymph nodes that can be attributed to juvenile arthritis)
- NO active uveitis, or inflammation of the eye
- NORMAL C-reactive proteins and erythrocyte sedimentation rate (ESR) when tested
- NO disease activity indicated on the physician's global assessment of disease activity
Criteria for clinical remission ON medication
The criteria for inactive disease must be met for a minimum of six continuous months while the patient is on medication.
Criteria for clinical remission OFF medication
The criteria for inactive disease must be met for a minimum of 12 continuous months while off all arthritis medications.