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Table 1 Delphi 2 Responses in order of descending number of votes

From: Research priorities in pediatric rheumatology: The Childhood Arthritis and Rheumatology Research Alliance (CARRA) consensus

PROBLEM

TREATMENT

VOTES

Systemic onset juvenile rheumatoid arthritis

Anti-IL-6 receptor antibody

62

Uveitis (juvenile rheumatoid arthritis, sarcoid, or idiopathic) unresponsive to methotrexate

Infliximab

50

Pediatric systemic lupus erythematosus

Mycophenolate mofetil

48

Thrombocytopenia unresponsive to standard therapy in systemic lupus erythematosus

Rituximab

47

Juvenile dermatomyositis unresponsive to prednisone and disease-modifying anti-rheumatic drugs

Enbrel

43

Systemic onset juvenile rheumatoid arthritis

Thalidomide

43

Systemic onset juvenile rheumatoid arthritis

Anakinra

36

Localized scleroderma

Combination: steroids and methotrexate

35

Juvenile dermatomyositis unresponsive to prednisone and disease-modifying anti-rheumatic drugs

Infliximab

29

Rash of juvenile dermatomyositis

Topical tacrolimus

27

Systemic lupus erythematosus proliferative nephritis unresponsive to pulse cyclophosphamide and mycophenolate mofetil

Combination: pulse cyclophosphamide and mycophenolate mofetil

25

Chronic Recurrent Multifocal Osteomyelitis that is not controlled by non-steroid anti-inflammatory drugs and/or that requires corticosteroids

Bisphosphonates

24

Localized scleroderma

Methotrexate orally

20

Linear scleroderma refractory to oral or subcutaneous methotrexate treatment

Oral mycophenolate mofetil treatment

19

Henoch Scholein Purpura

Glucocorticoid treatment

18

Osteoporosis

Alendronate and other possibilities

18

Pauciarticular juvenile rheumatoid arthritis

Intraarticular steroids

17

Systemic onset juvenile rheumatoid arthritis

Combination:TNF blockers and thalidomide

17

Behcet's

Infliximab

16

Early polyarticular juvenile rheumatoid arthritis

CTLA4-1g

16

Macrophage activation syndrome

Combination: cyclosporin + corticosteroids

15

Sarcoid arthritis

Enbrel

15

Severe systemic lupus erythematosus – cyclophosphamide dependent or resistant

Intravenous fludarabine

15

Rash of systemic lupus erythematosus

Topical tacrolimus

14

Acute rheumatic fever

Naproxen

13

Henoch Scholein Purpura with abdominal pain

Glucocorticoid treatment

13

Juvenile rheumatoid arthritis-temporomandibular joint arthritis

Corticosteroid joint injections

13

Systemic onset juvenile rheumatoid arthritis

Oral intravenous immunoglobulin as adjuvant therapy

10

Familial Mediterranean fever not responsive to colchicine

Anakinra

8

Refractory iritis in juvenile rheumatoid arthritis

Cyclosporin

8

Osteoporosis

Vitamin D – the various preparations

7

Raynaud's 10 and 20

Biofeedback

7

Familial Mediterranean fever

Anti-Interleukin 1

5

Systemic onset juvenile rheumatoid arthritis

Combination: hydroxychloroquine and standard therapy

2

Systemic onset juvenile rheumatoid arthritis

Combination: thalidomide and cyclosporin

2