CASE: A mother of a 2-year-old girl brings her daughter to a pediatrician for a third opinion. For the past five weeks, the girl has been feeling “not quite herself in the morning.” She has been irritable and slow to get out of bed, sometimes refusing to get up altogether, and walks more stiffly than usual. She gets better as the day goes on but worsens again after her afternoon nap, and seems ...

Criteria for the classification of juvenile rheumatoid arthritis were analyzed in a detailed database of 250 children in order to assess the accuracy of diagnosis and validity of onset types and course subtypes. A number of conclusions have been derived from this study: All definitions of the 1973 criteria for classification of juvenile rheumatoid arthritis should be retained. The addition of o...

While the long-term outlook of JRA varies with different forms of the disease, over 1/3 of children in general will have active disease that persists into their adult lives, while the remainder experience a remission by the time they reach adulthood. Moreover, 30-50% of patients experience significant limitations in daily functioning 10 years after the onset of their disease. For these reasons,...

OBJECTIVE To determine the spectrum of clinical presentation, laboratory parameters and drug therapy in patients with Juvenile Rheumatoid Arthritis (JRA). STUDY DESIGN Case series. PLACE AND DURATION OF STUDY The Children's Hospital and The Institute of Child Health, Lahore, from October 2008 to October 2011. METHODOLOGY All patients who fulfilled the American College of Rheumatology crit...