Skip to main content
PMC home page
Annals of the Rheumatic Diseases logoLink to Annals of the Rheumatic Diseases
. 1992 Mar;51(3):343–346. doi: 10.1136/ard.51.3.343

Assessment of pain in patients with juvenile rheumatoid arthritis: relation between pain intensity and degree of joint inflammation.

N T Ilowite 1, G A Walco 1, R Pochaczevsky 1
PMCID: PMC1004657  PMID: 1575578

Abstract

The relation between pain and joint inflammation in patients with juvenile rheumatoid arthritis has not previously been systematically evaluated. Eighteen patients with juvenile rheumatoid arthritis completed paediatric pain questionnaires and the joints affected were examined by thermography. Although significant correlations were shown between parent and doctor pain intensity ratings and joint temperature, correlations of patient pain intensity ratings and joint temperature were only significant in younger children. The degree of joint inflammation is only one factor of several contributing to the amount of subjective pain experienced by children with juvenile rheumatoid arthritis, indicating the need for a comprehensive assessment of the relatively independent variables of inflammation and pain in children with juvenile rheumatoid arthritis.

Full text

PDF
344

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bacon P. A., Davies J., Ring F. J. Benoxaprofen--dose-range studies using quantitative thermography. J Rheumatol Suppl. 1980;6:48–53. [PubMed] [Google Scholar]
  2. Beales J. G., Keen J. H., Holt P. J. The child's perception of the disease and the experience of pain in juvenile chronic arthritis. J Rheumatol. 1983 Feb;10(1):61–65. [PubMed] [Google Scholar]
  3. Brewer E. J., Jr, Bass J., Baum J., Cassidy J. T., Fink C., Jacobs J., Hanson V., Levinson J. E., Schaller J., Stillman J. S. Current proposed revision of JRA Criteria. JRA Criteria Subcommittee of the Diagnostic and Therapeutic Criteria Committee of the American Rheumatism Section of The Arthritis Foundation. Arthritis Rheum. 1977 Mar;20(2 Suppl):195–199. [PubMed] [Google Scholar]
  4. Devereaux M. D., Parr G. R., Thomas D. P., Hazleman B. L. Disease activity indexes in rheumatoid arthritis; a prospective, comparative study with thermography. Ann Rheum Dis. 1985 Jul;44(7):434–437. doi: 10.1136/ard.44.7.434. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Giannini E. H., Brewer E. J. Poor correlation between the erythrocyte sedimentation rate and clinical activity in juvenile rheumatoid arthritis. Clin Rheumatol. 1987 Jun;6(2):197–201. doi: 10.1007/BF02201024. [DOI] [PubMed] [Google Scholar]
  6. Kantor T. G. Concepts in pain control. Semin Arthritis Rheum. 1989 May;18(4 Suppl 2):94–99. doi: 10.1016/0049-0172(89)90025-5. [DOI] [PubMed] [Google Scholar]
  7. Lightman H. I., Pochaczevsky R., Aprin H., Ilowite N. T. Thermography in childhood reflex sympathetic dystrophy. J Pediatr. 1987 Oct;111(4):551–555. doi: 10.1016/s0022-3476(87)80119-1. [DOI] [PubMed] [Google Scholar]
  8. Lovell D. J., Walco G. A. Pain associated with juvenile rheumatoid arthritis. Pediatr Clin North Am. 1989 Aug;36(4):1015–1027. doi: 10.1016/s0031-3955(16)36734-7. [DOI] [PubMed] [Google Scholar]
  9. Mignone F., Sardella M., Barbero I., Dho C., Ciravegna P., Sciolla N., Comotto M., Cesarani F., Bocchini R. Applicazione della termografia nella diagnosi e nel follow-up dell'artrite reumatoide infantile. Minerva Pediatr. 1986 Apr 15;38(7):231–234. [PubMed] [Google Scholar]
  10. Pochaczevsky R., Wexler C. E., Meyers P. H., Epstein J. A., Marc J. A. Liquid crystal thermography of the spine and extremities. Its value in the diagnosis of spinal root syndromes. J Neurosurg. 1982 Mar;56(3):386–395. doi: 10.3171/jns.1982.56.3.0386. [DOI] [PubMed] [Google Scholar]
  11. Schaller J. G. Juvenile rheumatoid arthritis: Series 1. Arthritis Rheum. 1977 Mar;20(2 Suppl):165–170. [PubMed] [Google Scholar]
  12. Sherry D. D., Bohnsack J., Salmonson K., Wallace C. A., Mellins E. Painless juvenile rheumatoid arthritis. J Pediatr. 1990 Jun;116(6):921–923. doi: 10.1016/s0022-3476(05)80652-3. [DOI] [PubMed] [Google Scholar]
  13. Thompson K. L., Varni J. W. A developmental cognitive-biobehavioral approach to pediatric pain assessment. Pain. 1986 Jun;25(3):283–296. doi: 10.1016/0304-3959(86)90233-2. [DOI] [PubMed] [Google Scholar]
  14. Varni J. W., Thompson K. L., Hanson V. The Varni/Thompson Pediatric Pain Questionnaire. I. Chronic musculoskeletal pain in juvenile rheumatoid arthritis. Pain. 1987 Jan;28(1):27–38. doi: 10.1016/0304-3959(87)91056-6. [DOI] [PubMed] [Google Scholar]
  15. Varni J. W., Wilcox K. T., Hanson V., Brik R. Chronic musculoskeletal pain and functional status in juvenile rheumatoid arthritis: an empirical model. Pain. 1988 Jan;32(1):1–7. doi: 10.1016/0304-3959(88)90016-4. [DOI] [PubMed] [Google Scholar]
  16. Walco G. A., Dampier C. D. Pain in children and adolescents with sickle cell disease: a descriptive study. J Pediatr Psychol. 1990 Oct;15(5):643–658. doi: 10.1093/jpepsy/15.5.643. [DOI] [PubMed] [Google Scholar]

Articles from Annals of the Rheumatic Diseases are provided here courtesy of BMJ Publishing Group

RESOURCES