Isolated digital swelling as the initial presentation of juvenile rheumatoid arthritis
Juvenile rheumatoid arthritis (JRA) is an inflammatory condition that affects children under 16 years of age. The cases of 7 patients with isolated finger swelling as the initial manifestation of JRA are reviewed. In these children, the diagnosis was significantly delayed (t-test, p < .0076) for...
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Published in | The Journal of hand surgery (American ed.) Vol. 22; no. 4; p. 653 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
United States
01.07.1997
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Subjects | |
Online Access | Get more information |
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Summary: | Juvenile rheumatoid arthritis (JRA) is an inflammatory condition that affects children under 16 years of age. The cases of 7 patients with isolated finger swelling as the initial manifestation of JRA are reviewed. In these children, the diagnosis was significantly delayed (t-test, p < .0076) for up to 14 months (mean, 8 months) when compared to a mean of 3.4 months in the JRA patients with a typical onset. Of the patients with the initial presentation of isolated digital swelling, +/7 (57%) had disease that became polyarticular, whereas only 15% of the patients with the initial presentation of large-joint disease experienced progression to polyarticular disease (Fisher's exact test, p < .0307). This presentation of JRA should be recognized so that appropriate management can be instituted promptly. |
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ISSN: | 0363-5023 |
DOI: | 10.1016/S0363-5023(97)80124-4 |