A Family History of Psoriasis in a First-degree Relative in Children with JIA: to Include or Exclude?

J Rheumatol. 2016 May;43(5):944-7. doi: 10.3899/jrheum.150555. Epub 2016 Mar 15.

Abstract

Objective: To determine the consequences of disregarding first-degree relatives with psoriasis (FRP) as a classification criterion in juvenile idiopathic arthritis (JIA).

Methods: Criteria were examined in children from a prospective cohort with unclassified and psoriatic JIA.

Results: FRP was the most common reason children were unclassified (57/85, 67%); all 57 children could be classified if FRP were disregarded as an exclusion criterion. FRP was a necessary inclusion criterion to classify 11/77 (14.3%) children with psoriatic JIA.

Conclusion: Eliminating FRP as an exclusion criterion, but keeping it as an inclusion criterion in psoriatic JIA simplifies classification, though it is unclear whether the resulting classification would be better.

Keywords: CLASSIFICATION PSORIASIS; JUVENILE IDIOPATHIC ARTHRITIS; JUVENILE PSORIATIC ARTHRITIS; UNDIFFERENTIATED JUVENILE IDIOPATHIC ARTHRITIS.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Arthritis, Juvenile / classification
  • Arthritis, Juvenile / diagnosis*
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Infant
  • Male
  • Prospective Studies
  • Psoriasis / diagnosis*

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