Juvenile idiopathic oligoarthritis: analysis of 42 cases in Jordan.
We conducted a retrospective chart review for all 42 patients, 9 males and 33 females, diagnosed with juvenile idiopathic oligoarthritis between July 1995 and October 2004 at the paediatric rheumatology clinic in King Hussein Medical Centre. Age range was 1.2-15.2 years, mean 3.6 (standard deviation 2.4) years. Of those <6 years, 80% were females. Most patients (64%) had monoarthritis; the knee was the most common joint affected (71%). Two patients had developed extended oligoarthritis. Nine (21%) had asymptomatic uveitis: 6 females (P = 0.350), 7 (77%) <3 years of age (P = 0.301) and 7 (77%) with antinuclear antibodies (ANAs) (P = 0.071). Eighteen (43%) females were positive for ANAs. Most patients had undergone unnecessary, lengthy work-up and treatment before diagnosis.
Paediatric Immunology Clinic, Department of Paediatrics, King Hussein Medical Centre, Royal Medical Services, Amman, Jordan. awah88@hotmail.com
A M
AM
Al-Wahadneh
A F
AF
Abu-Zeid
W H
WH
Khreisat
D000046:Academic Medical Centers; D000293:Adolescent; D017677:Age Distribution; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D000974:Antibodies, Antinuclear / Q000097:blood; D018501:Antirheumatic Agents / Q000627:therapeutic use; D001171:Arthritis, Juvenile / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology*; D002648:Child; D002675:Child, Preschool; D042241:Early Diagnosis; D005260:Female; D006801:Humans; D007223:Infant; D007597:Jordan / Q000453:epidemiology; D008297:Male; D008727:Methotrexate / Q000627:therapeutic use; D010044:Outpatient Clinics, Hospital; D011159:Population Surveillance; D011239:Prednisolone / Q000627:therapeutic use; D012189:Retrospective Studies; D012307:Risk Factors; D017678:Sex Distribution; D014605:Uveitis / Q000453:epidemiology / Q000209:etiology
D000893:Anti-Inflammatory Agents; D000974:Antibodies, Antinuclear; D018501:Antirheumatic Agents; D011239:Prednisolone; D008727:Methotrexate