Abstract
The clinical, laboratory, and radiological features, including histocompatibility typing, of 28 patients with juvenile psoriatic arthritis are reported. The most common presentation was that of psoriasis preceding or occurring simultaneously with arthritis. The most common course of juvenile psoriatic arthritis was to start as an oligoarthritis and progress, usually to polyarthritis. No patients with juvenile psoriatic arthritis had uveitis. Overall, most patients had a good outcome (93% in functional class I and II), though 8/28 (29%) did require disease modifying drugs over a mean period of 8.8 years of follow up. The clinical features of these patients were very similar to those of a group of 158 adult patients with psoriatic arthritis with the same disease duration followed up in the clinic. Although there was an increased prevalence of B17 in both juvenile and adult psoriatic arthritis, juvenile psoriatic arthritis showed increased prevalence of A2, whereas adult psoriatic arthritis showed increased prevalence of B27, Bw39, and Cw6. This HLA association differed from that reported in other forms of juvenile arthritis.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- ANSELL B. M., BYWATERS E. G. Diagnosis of "probable" Still's disease and its outcome. Ann Rheum Dis. 1962 Sep;21:253–262. doi: 10.1136/ard.21.3.253. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Albert E., Ansell B. M. Immunogenetics of juvenile chronic arthritis. Scand J Rheumatol Suppl. 1987;66:85–91. doi: 10.3109/03009748709102526. [DOI] [PubMed] [Google Scholar]
- Baker H. Epidemiological aspects of psoriasis and arthritis. Br J Dermatol. 1966 May;78(5):249–261. doi: 10.1111/j.1365-2133.1966.tb12219.x. [DOI] [PubMed] [Google Scholar]
- CHURCH R. The prospect of psoriasis. Br J Dermatol. 1958 Apr;70(4):139–145. doi: 10.1111/j.1365-2133.1958.tb13306.x. [DOI] [PubMed] [Google Scholar]
- Gladman D. D., Anhorn K. A., Schachter R. K., Mervart H. HLA antigens in psoriatic arthritis. J Rheumatol. 1986 Jun;13(3):586–592. [PubMed] [Google Scholar]
- Gladman D. D., Shuckett R., Russell M. L., Thorne J. C., Schachter R. K. Psoriatic arthritis (PSA)--an analysis of 220 patients. Q J Med. 1987 Feb;62(238):127–141. [PubMed] [Google Scholar]
- Hall P. J., Burman S. J., Laurent M. R., Briggs D. C., Venning H. E., Leak A. M., Bedford P. A., Ansell B. M. Genetic susceptibility to early onset pauciarticular juvenile chronic arthritis: a study of HLA and complement markers in 158 British patients. Ann Rheum Dis. 1986 Jun;45(6):464–474. doi: 10.1136/ard.45.6.464. [DOI] [PMC free article] [PubMed] [Google Scholar]
- McKendry R. J., Sengar D. P., DesGroseilliers J. P., Dunne J. V. Frequency of HLA antigens in patients with psoriasis or psoriatic arthritis. Can Med Assoc J. 1984 Feb 15;130(4):411–415. [PMC free article] [PubMed] [Google Scholar]
- Shore A., Ansell B. M. Juvenile psoriatic arthritis--an analysis of 60 cases. J Pediatr. 1982 Apr;100(4):529–535. doi: 10.1016/s0022-3476(82)80747-6. [DOI] [PubMed] [Google Scholar]
- Sills E. M. Psoriatic arthritis in childhood. Johns Hopkins Med J. 1980 Feb;146(2):49–53. [PubMed] [Google Scholar]
- Southwood T. R., Petty R. E., Malleson P. N., Delgado E. A., Hunt D. W., Wood B., Schroeder M. L. Psoriatic arthritis in children. Arthritis Rheum. 1989 Aug;32(8):1007–1013. doi: 10.1002/anr.1780320810. [DOI] [PubMed] [Google Scholar]