Isolated digital swelling as the initial presentation of juvenile rheumatoid arthritis

S. H. Naidu, B. E. Ostrov, Jr Pellegrini

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

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, 4/7 (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.

Original languageEnglish (US)
Pages (from-to)653-657
Number of pages5
JournalJournal of Hand Surgery
Volume22
Issue number4
DOIs
StatePublished - Jan 1 1997

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine

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