Yonsei Med J.  1978 Jun;19(1):49-58. 10.3349/ymj.1978.19.1.49.

Clinical Observations on Juvenile Rheumatoid Arthritis

Affiliations
  • 1Department of Orthopedic Surgery, Yonsei University Medical College, Seoul, Korea.

Abstract

Juvenile rheumatoid arthritis (JRA) is basically the same disease as rheumatoid arhritis in the adult. However juvenile rheumatoid arthritis has many features that differ from rheumatoid arthritis in the adult, and since the onset of the disease occurs before the age of puberty, variable alterations in growth may occur. In this study, fifty cases of juvenile rheumatoid arthritis treated at Severance Hospital from January 1970 to December 1977 were analysed clinically and the following results were obtained. 1. By classification, the polyarticular type (46%) was most frequent, followed by the pauciarticular type (34%) and systemic type (20%) in order. 2. The most frequent joint affected was the knee (82%) followed by the ankle (60%), hand (22%), wrist (20%), etc. 3. The extra-articular manifestations on admission were high fever (40%), rash (16%), carditis (14%), lymphadenopathy (14%), etc. 4. Laboratory findings on admission showed increased ESR (88%), positive rheumatoid factor (15.5%), positive ANA (16.6%), etc. 5. Clinical symptoms were managed medically and surgically with aspirin, salicylates and steroids, physical therapy, and synovectomy.


MeSH Terms

Adolescent
Arthritis, Juvenile Rheumatoid/classification
Arthritis, Juvenile Rheumatoid/epidemiology*
Child
Child, Preschool
Female
Follow-Up Studies
Human
Korea
Male
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