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A study of prognosis in 52 cases with juvenile rheumatoid arthritis
Author(s) -
KOBAYASHI TOSHIAKI,
TANAKA SHINSUKE,
MAEDA MOTOHARU,
OKUBO HIROKO,
MATSUYAMA TAKESHI,
WATANABE NOBUO
Publication year - 1993
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/j.1442-200x.1993.tb03088.x
Subject(s) - medicine , juvenile rheumatoid arthritis , rheumatoid arthritis , juvenile , arthritis , genetics , biology
The prognosis in 52 patients with juvenile rheumatoid arthritis (JRA) was studied. There were 35 cases of systemic onset, 12 of polyarticular onset and 5 of pauciarticular onset. Thirteen systemic cases developed a polycyclic course with chronic polyarthritis. Many monocyclic JRA in systemic cases subsided within 1 year. There were no instances of polyarticular cases or pauciarticular cases that shifted to other type. However, there were many cases with a long active polyarticular JRA and with remission at an early stage in the pauciarticular type. The stage and class were I or II in 90% of cases with a good prognosis for the joints, but there were some serious cases. Transient carditis or iritis which developed at an early stage subsided later. The intractable systemic cases had drug‐induced complications. The cases with steroid‐induced complications tended to be chronic. One death in a systemic case was caused by hepatic failure.