Comment prendre en charge des jeunes adultes atteints d’AJI ? De la consultation de pédiatrie à la consultation de rhumatologie

Abstract: Juvenile idiopathic arthritis (JIA) starts, by definition, before the age of 16 years, most cases occurring in early childhood. While for 50% of patients, especially those with the oligoarticular form, the disease declines during childhood, 30 to 40% of children with enter adulthood with their active disease. More frequent use of biologics will probably increase the rate of remission, however, the follow-up of children who became adults will be still necessary; transition to adult care happens during adolescence and is challenging for children, parents and caregivers. So, following what has been already done in other chronic diseases, transition clinics were set up in the United States and in Europe. This paper reviews publications on transition programs and clinics in JIA, underlines their limits and suggests some clues for improvement. [Copyright &y& Elsevier]