Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2001-2-6
pubmed:abstractText
We compared the prognostic factors and outcome of 30 patients with juvenile chronic arthritis (JCA) extending into adult life with those of 30 patients with adult rheumatoid arthritis (RA) at a university adult rheumatology clinic; pairs were matched for sex and duration of disease (mean 8 years). One-third of JCA patients had seronegative polyarticular disease and another third had oligoarticular disease. In a third of the JCA patients, the clinical presentation changed during the follow-up. Over half of the RA patients had seropositive polyarticular and a one-third had seronegative polyarticular disease. Fewer seropositive patients were recorded in the JCA group than in the RA group both at the beginning (16.7% versus 56.7%; p=0.003) and at the end of the follow-up (14.3% versus 59.3%; p=0.001). JCA patients developed less radiographic changes than RA patients (46.7% versus 76.7%; p=0.034); oligoarthritis in the JCA group had the best prognosis whereas seropositive polyarthritis in the RA group had the worst prognosis. Significantly more patients with JCA than RA (60% versus 23%; p=0.009) were in remission at the end of the follow-up. In conclusion, when studied in adult life, the long-term prognosis is better in patients with JCA than in those with RA.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
0770-3198
pubmed:author
pubmed:issnType
Print
pubmed:volume
18
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
220-6
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:11206347-Adolescent, pubmed-meshheading:11206347-Adult, pubmed-meshheading:11206347-Aged, pubmed-meshheading:11206347-Antirheumatic Agents, pubmed-meshheading:11206347-Arthritis, Juvenile Rheumatoid, pubmed-meshheading:11206347-Child, pubmed-meshheading:11206347-Child, Preschool, pubmed-meshheading:11206347-Disability Evaluation, pubmed-meshheading:11206347-Female, pubmed-meshheading:11206347-Follow-Up Studies, pubmed-meshheading:11206347-Glucocorticoids, pubmed-meshheading:11206347-Hospitals, University, pubmed-meshheading:11206347-Humans, pubmed-meshheading:11206347-Infant, pubmed-meshheading:11206347-Joints, pubmed-meshheading:11206347-Male, pubmed-meshheading:11206347-Middle Aged, pubmed-meshheading:11206347-Prognosis, pubmed-meshheading:11206347-Remission Induction, pubmed-meshheading:11206347-Serologic Tests
pubmed:year
1999
pubmed:articleTitle
Juvenile chronic arthritis in adult life: a study of long-term outcome in patients with juvenile chronic arthritis or adult rheumatoid arthritis.
pubmed:affiliation
Department of Medicine, Helsinki University Central Hospital, Finland.
pubmed:publicationType
Journal Article, Comparative Study, Research Support, Non-U.S. Gov't