{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T06:18:22Z","timestamp":1783491502931,"version":"3.55.0"},"reference-count":11,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:00:00Z","timestamp":1783468800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Juvenile idiopathic arthritis (JIA) is the most common chronic rheumatic disease in childhood, often associated with persistent pain, functional disability, and a negative impact on quality of life. Pain management is challenging, requiring multidisciplinary approaches that integrate biological, psychological, and social factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>This case report presents a clinical case of a 10-year-old male admitted for progressive polyarthritis with severe pain and an inability to walk. Laboratory and imaging tests confirmed enthesitis-related JIA (HLA-B27 positive). During a nine-month hospitalisation, pharmacological and non-pharmacological interventions were implemented, resulting in partial improvement and recurrent episodes of pain, leading to referral for biologic therapy at a specialized centre.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This case illustrates the complexity of chronic pain in JIA, with significant functional, emotional, and behavioural repercussions. Psychosocial factors and family involvement influence the experience of pain. Integrated, multidisciplinary, child-centred strategies that combine pharmacological and non-pharmacological interventions with emotional support are essential for effective management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In settings with limited resources, the lack of biologic therapies requires referral networks to ensure access to specialized care. This report highlights the importance of multidisciplinary, child-centred approaches to optimize the management of chronic pain in JIA.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fped.2026.1811923","type":"journal-article","created":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T05:55:03Z","timestamp":1783490103000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Integrated pain management in a child with arthritis in Cape Verde: a case report"],"prefix":"10.3389","volume":"14","author":[{"given":"Deisa Salyse","family":"dos Reis Cabral Semedo","sequence":"first","affiliation":[{"name":"One Health Research Center, University of Cape Verde","place":["Praia, Cabo Verde"]},{"name":"Faculty of Sciences and Technology, University of Cape Verde","place":["Praia, Cabo Verde"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"de Sousa Lobo","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Dr. Agostinho Neto University Hospital","place":["Praia, Cabo Verde"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neusa Alfreda","family":"Mendon\u00e7a Soares de Carvalho","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Dr. Agostinho Neto University Hospital","place":["Praia, Cabo Verde"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Celestina","family":"Barros Martins","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Dr. Agostinho Neto University Hospital","place":["Praia, Cabo Verde"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabete","family":"Moreno Barros","sequence":"additional","affiliation":[{"name":"Faculty of Sciences and Technology, University of Cape Verde","place":["Praia, Cabo Verde"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denise","family":"Castro Cardoso","sequence":"additional","affiliation":[{"name":"Faculty of Sciences and Technology, University of Cape Verde","place":["Praia, Cabo Verde"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diva Elci","family":"dos Reis Cabral","sequence":"additional","affiliation":[{"name":"Faculty of Sciences and Technology, University of Cape Verde","place":["Praia, Cabo Verde"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,8]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1186\/s12887-022-03810-4","article-title":"An investigation into the relationship between nutritional status, dietary intake, symptoms and health-related quality of life in children and young people with juvenile idiopathic arthritis: a systematic review and meta-analysis","volume":"23","author":"Zare","year":"2023","journal-title":"BMC 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interviews","volume":"23","author":"M\u00f6rdrup","year":"2025","journal-title":"Pediatr Rheumatol"}],"container-title":["Frontiers in Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2026.1811923\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T05:55:04Z","timestamp":1783490104000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2026.1811923\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,8]]},"references-count":11,"alternative-id":["10.3389\/fped.2026.1811923"],"URL":"https:\/\/doi.org\/10.3389\/fped.2026.1811923","relation":{},"ISSN":["2296-2360"],"issn-type":[{"value":"2296-2360","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,8]]},"article-number":"1811923"}}