Pauciarticular juvenile rheumatoid arthritis presenting in an adult.
Type I pauciarticular juvenile rheumatoid arthritis (PA-JRA) is characterized by a female predominance, chronic iridocyclitis and a positive antinuclear antibody (ANA) test. In contrast, patients with type II PA-JRA are usually male, have a negative ANA test, but are HLA-B27 positive. We report a patient with longstanding iridocyclitis who presented at age 20 with oligoarthritis, whom we believe has Type I PA-JRA. Slit lamp examination should be considered in patients with oligoarthritis; the detection of asymptomatic chronic iridocyclitis may aid in the diagnosis. Untreated, this condition may cause irreversible ocular damage.
Cook
D J
DJ
Rheumatic Disease Unit, St. Joseph's Hospital, Toronto, ON, Canada.
Bensen
W G
WG
Shore
A
A
Csordas
J E
JE
D000328:Adult; D000974:Antibodies, Antinuclear / Q000032:analysis; D001171:Arthritis, Juvenile / Q000150:complications* / Q000276:immunology; D005260:Female; D006680:HLA Antigens / Q000032:analysis; D006801:Humans; D007719:Knee Joint / Q000276:immunology; D013582:Synovial Fluid / Q000276:immunology; D014606:Uveitis, Anterior / Q000175:diagnosis / Q000209:etiology*
D000974:Antibodies, Antinuclear; D006680:HLA Antigens