J Korean Orthop Assoc.  1977 Sep;12(3):343-350. 10.4055/jkoa.1977.12.3.343.

Clinical Observation on Juvenile Rheumatoid Arthritis

Abstract

Juvenile rheumatoid arthritis is basically the same disease as rheumatoid arthritis in the adult. However juvenile rheumatoid arthritis has many features that differ from rheumatoid arthritis in adult, and since the onset of the disease occurs before the age of puberty variable alteration in growth may occur. Still, in his classic description of 22 cases of rheumatoid arthritis in children, emphasized the florid form of the disease with fever, lymphadenopathy, and splenomegaly. Since the time of Still many more children with chronic arthriits, which is called Stills disease in England and juvenile rheumatoid arthritis in the United States, have been described, and it has become apparent that the disease has extremely variable manifestations. Forty cases of juvenile rheumatoid arthritis treated at the Severance Hospital from June 1970 to June 1976 were analysed clinically and the following results were obtained. 1. On type classification, the polyarticular type (45%) was most frequent followed by the pauciarticular type (35%) and systemic type (20%) in order. 2. The most frequent joint affected was the knee (77.5%) followed by the ankle (55%), wrist (20%),. elbow (17.5%), etc. 3. The extra-articular manifectations on admission were high fever (42%), rash (20%), carditis (17%) hepatosplenomegaly (12%), etc. 4. Laboratory findings on admission showed increased ESR (85%), positive rheumatoid factor (14.3%),. positive ANA (2.5%), etc. 5. Treatment and drugs were aspirin (57.5%), salicylate and steroid (37.5%), physical therapy (25%), synovectomy (2.5%).


MeSH Terms

Adolescent
Adult
Ankle
Arthritis, Juvenile*
Arthritis, Rheumatoid
Aspirin
Child
Classification
Elbow
England
Exanthema
Fever
Humans
Joints
Knee
Lymphatic Diseases
Myocarditis
Puberty
Rheumatoid Factor
Splenomegaly
United States
Wrist
Aspirin
Rheumatoid Factor
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