Fractures in Chronic Arthritis

Bone rarefaction and crush fractures in juvenile chronic arthritis.

Seventy children with juvenile chronic arthritis have had measurements of cortical and trabecular bone density in one or both radii. In 7 children with unilateral disease of one wrist, there was a substantial reduction in growth on the affected side. Trabecular bone density in the distal radius was reduced in the main group of 63 patients compared with controls, and this deficit was appreciably...

Chronic arthritis in children.

Differentiating between arthralgia and arthritis is of the utmost importance for the pediatrician. Proper joint exam, aided by adequate use of laboratory and imaging tests, makes this differentiation possible. Renee F. Modica, MD, Sukesh Sukumaran, MD, and myself give a comprehensive review of the joint exam in children, providing illustrations of the exam maneuvers and interpretations of diffe...

Chronic Arthritis

Cytokines in Chronic Inflammatory Arthritis

Current models of rheumatoid arthritis (RA)' implicate lymphokines in the recruitment and activation of T cells in the synovium (1, 2) . However, adequate documentation of significant amounts of these proteins in the joint is limited . In fact, recent studies have found only very low levels of IFN-y in synovial fluid (SF) and tissue of patients with RA (3) . This relative lack of IFN-y seems co...

Scoliosis in juvenile chronic arthritis.

Structural scoliosis occurs more commonly in patients with juvenile chronic arthritis than in the normal population. We have reviewed 32 patients with both juvenile arthritis and a scoliosis and suggest that structural curves may arise from postural curves associated with asymmetrical involvement of lower limb joints.