A study of prognosis in 52 cases with juvenile rheumatoid arthritis |
| |
Authors: | TOSHIAKI KOBAYASHI MD SHINSUKE TANAKA MOTOHARU MAEDA HIROKO OKUBO TAKESHI MATSUYAMA NOBUO WATANABE |
| |
Affiliation: | Department of Pediatrics, Kyorin University School of Medicine, Shinkawa, Mitaka City, Tokyo, Japan |
| |
Abstract: | 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. |
| |
Keywords: | complication juvenile rheumatoid arthritis prognosis |
|
|