Juvenile idiopathic oligoarthritis: analysis of 42 cases in Jordan

East Mediterr Health J. 2007 Mar-Apr;13(2):461-4.

Abstract

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.

MeSH terms

  • Academic Medical Centers
  • Adolescent
  • Age Distribution
  • Anti-Inflammatory Agents / therapeutic use
  • Antibodies, Antinuclear / blood
  • Antirheumatic Agents / therapeutic use
  • Arthritis, Juvenile / complications
  • Arthritis, Juvenile / diagnosis
  • Arthritis, Juvenile / drug therapy
  • Arthritis, Juvenile / epidemiology*
  • Child
  • Child, Preschool
  • Early Diagnosis
  • Female
  • Humans
  • Infant
  • Jordan / epidemiology
  • Male
  • Methotrexate / therapeutic use
  • Outpatient Clinics, Hospital
  • Population Surveillance
  • Prednisolone / therapeutic use
  • Retrospective Studies
  • Risk Factors
  • Sex Distribution
  • Uveitis / epidemiology
  • Uveitis / etiology

Substances

  • Anti-Inflammatory Agents
  • Antibodies, Antinuclear
  • Antirheumatic Agents
  • Prednisolone
  • Methotrexate