Objective:

To describe how the pediatric healthcare team managed pain in a child with juvenile idiopathic arthritis through an integrated, multidisciplinary, and child-centered approach.

Approach:

• Case Presentation: A 10-year-old male with enthesitis-related juvenile idiopathic arthritis underwent nine months of hospitalization, during which he received pharmacological interventions such as NSAIDs and corticosteroids, alongside non-pharmacological interventions including physical therapy and psychological support.

Key Findings:

• Juvenile idiopathic arthritis (JIA) is the most common chronic rheumatic disease in children, leading to significant pain and functional disability.
• Psychosocial factors, including family dynamics and social support, influence pain perception and management in children with JIA.
• Multidisciplinary approaches combining pharmacological and non-pharmacological interventions are essential for effective pain management.

Interpretation:

The case highlights the complexity of managing chronic pain in JIA and the necessity for a comprehensive approach that includes emotional support and family involvement.

Limitations:

• The case study is based on a single patient, which limits the generalizability of the findings.
• Resource limitations in Cape Verde may affect the availability of specialized care and biologic therapies.

Conclusion:

Multidisciplinary, child-centered approaches are crucial for optimizing chronic pain management in JIA.