Integrated pain management in a child with arthritis in Cape Verde: a case report - Report - MDSpire

Integrated pain management in a child with arthritis in Cape Verde: a case report

  • By

  • Deisa Salyse dos Reis Cabral Semedo

  • Sandra de Sousa Lobo

  • Neusa Alfreda Mendonça Soares de Carvalho

  • Celestina Barros Martins

  • Elisabete Moreno Barros

  • Denise Castro Cardoso

  • Diva Elci dos Reis Cabral

  • July 8, 2026

  • 0 min

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Clinical Report: Comprehensive Pain Management Strategies for Pediatric Arthritis

Overview

This case study details the management of a 10-year-old male with enthesitis-related juvenile idiopathic arthritis (JIA) who experienced severe pain and functional impairment. A multidisciplinary approach combining pharmacological and non-pharmacological interventions was employed during a nine-month hospitalization.

Background

Juvenile idiopathic arthritis (JIA) is the most common chronic rheumatic disease in children, significantly affecting their quality of life and functional abilities. Pain management in JIA is complex, necessitating a multidisciplinary approach that addresses biological, psychological, and social factors.

Data Highlights

No numerical data or trial data was provided in the source material.

Key Findings

  • The patient was diagnosed with enthesitis-related JIA, confirmed by laboratory and imaging tests.
  • During hospitalization, both pharmacological and non-pharmacological interventions were implemented.
  • The patient experienced recurrent episodes of pain.
  • Family involvement and psychosocial factors influenced the patient's pain experience.
  • Referral for biologic therapy was considered due to ongoing pain management challenges.

Clinical Implications

Healthcare teams should consider both pharmacological and psychosocial interventions to address the complex needs of pediatric patients with JIA.

Conclusion

This case report highlights the challenges of managing chronic pain in JIA.

Related Resources & Content

  1. American College of Rheumatology, ACR Guidelines, 2026 -- Juvenile Idiopathic Arthritis Guidelines Summary
  2. Frontiers in Pain Research, 2026 -- Therapeutic scarification, shadow pain, and integrative geriatric rehabilitation for chronic musculoskeletal pain in older adults in Cameroon
  3. Clinical Rheumatology, 2024 -- Timely and Structured Management of Early Arthritis in Clinical Settings
  4. Frontiers in Pediatrics, 2026 -- Procedural pain in pediatric care: educational, ethical, and public health imperatives
  5. Frontiers in Pediatrics, 2026 -- Nurses’ perspectives on pain management in pediatric care: systematic review and meta-synthesis
  6. Pediatric Rheumatology, 2026 -- Early intensification versus step-up biologic strategies in systemic juvenile idiopathic arthritis
  7. https://assets.contentstack.io/v3/assets/bltee37abb6b278ab2c/blt4e307b8933591fa5/jia-guidelines-summary-2026.pdf
  8. Early intensification versus step-up biologic strategies in systemic juvenile idiopathic arthritis: a Bayesian network meta-analysis of remission and safety outcomes | Pediatric Rheumatology | Springer Nature Link
  9. Physician's global assessment of disease activity in juvenile idiopathic arthritis: consensus-based recommendations from an international task force - PubMed

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