PMID: 3763252Oct 1, 1986Paper

Spondyloarthropathies of childhood

Pediatric Clinics of North America
R E Petty, P N Malleson

Abstract

The spondyloarthropathies of childhood present a diagnostic and therapeutic challenge. It is important to differentiate this group of arthritides from JRA because the nature and frequency of extra-articular complications are quite different, as is the prognosis and the therapeutic approach. JAS is the prototype of the spondyloarthropathies and probably accounts for greater than 75 per cent of all children with diseases included in this category. Unlike adult-onset ankylosing spondylitis, axial skeleton disease (sacroiliac, lumbar spine) is infrequent at onset of JAS and may not develop for months or years after the onset of arthritis in peripheral joints (particularly those of the lower extremity). Enthesitis, the inflammation of the insertion of tendon, capsule, ligament, or fascia to bone, is an important clinical diagnostic feature of this group of diseases. Extra-articular disease, such as rash in psoriatic arthritis, erythema nodosum, weight loss of abdominal pain (in the arthropathies of inflammatory bowel disease), urethritis, conjunctivitis, or Reiter's syndrome help to differentiate these spondyloarthropathies from JAS. Laboratory studies are of little assistance in differentiating JRA from the spondyloarthropathies ex...Continue Reading

Citations

Aug 1, 1995·Skeletal Radiology·E M Azouz, C M Duffy
Dec 17, 1998·Scandinavian Journal of Rheumatology·F Kanakoudi-TsakalidouH Tsangaropoulou-Stinga
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Aug 5, 2010·The Journal of Rheumatology·Matthew L StollMarilynn Punaro
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Oct 17, 2002·Rheumatic Diseases Clinics of North America·Rubén Burgos-Vargas
Oct 16, 2007·Rheumatic Diseases Clinics of North America·Jennifer E Weiss, Norman T Ilowite
Jun 16, 2009·Magnetic Resonance Imaging Clinics of North America·Sumit Pruthi, Mahesh M Thapa

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