The main goal of therapy is relief of the symptoms of arthritis as the disease is often self-limited, and it is rare to have significant joint injury. Nonsteroidal anti-inflammatory drugs (NSAIDS) like ibuprofen are the mainstay of treatment. Disease-modifying anti-rheumatic drugs like sulfasalazine may be effective. Sometimes steroid therapy is needed. Rarely, additional immunosuppressive therapy such as methotrexate, azathioprine, or biologics, including tumor necrosis factor (TNF) blocking agents, are indicated.
