Evidence map›Paper›PMID 26882369›Full record

ArticlePediatric research2016

Histopathological features of gastrointestinal mucosal biopsies in children with juvenile idiopathic arthritis.

Judith Pichler, Christina Ong, Neil Shah, Neil Sebire, Fevronia Kiparrissi, Osvaldo Borrelli, Clarissa Pilkington, Mamoun Elawad

Open access · bronzeAbstract read
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In one paragraph

Article in Pediatric research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.1field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Enthesitis-related arthritis: current perspectives.Open access rheumatology : research and reviews · 2019
    Review
  7. Article
  8. Article
  9. CD161Frontiers in immunology · 2017
    Article
  10. Gut microbiota-host interactions and juvenile idiopathic arthritis.Pediatric rheumatology online journal · 2016
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 3 countries.

Judith PichlerDepartment of Paediatric and Adolescent Medicine, Medical University of Vienna, Vienna, Austria.
Christina OngDepartment of Paediatric Gastroenterology, Great Ormond Street Hospital NHS Foundation Trust, London, UK.
Neil ShahDepartment of Paediatric Gastroenterology, Great Ormond Street Hospital NHS Foundation Trust, London, UK.
Neil SebireDepartment of Histopathology, Great Ormond Street Hospital NHS Foundation Trust, London, UK.
Fevronia KiparrissiDepartment of Paediatric Gastroenterology, Great Ormond Street Hospital NHS Foundation Trust, London, UK.
Osvaldo BorrelliDepartment of Paediatric Gastroenterology, Great Ormond Street Hospital NHS Foundation Trust, London, UK.
Clarissa PilkingtonDepartment of Paediatric Rheumatology, Great Ormond Street Hospital NHS Foundation Trust, London, UK.
Mamoun ElawadDepartment of Paediatric Gastroenterology, Great Ormond Street Hospital NHS Foundation Trust, London, UK.
Great Ormond Street Hospital for Children NHS Foundation Trust · GBMedical University of Vienna · AT

Funding

Department of Health
6 · The paper itself

Abstract

backgroundThe association between inflammatory bowel disease and joint involvement is well established. There is a paucity of data describing histopathological features of the gut in relation to juvenile idiopathic arthritis (JIA).

methodsWe retrospectively identified 33 (21 male) children aged 3-16 y with JIA (11 with oligoarthritis, 5 with polyarthritis, 8 with systemic onset arthritis, 8 with enthesitis-related arthritis (ERA), and 1 with psoriatic arthritis) with significant gastrointestinal (GI) symptoms who underwent upper and/or lower endoscopy. The histopathological findings were reviewed in addition to presence of autoantibodies and concomitant treatment.

resultsThe most common GI indications for endoscopy were persistent abdominal pain (14/33 (42%)) and diarrhea (10/33 (30%)). Of the 33 children, 28 (85%) had gut mucosal inflammation, mostly affecting the colon (80%). Active inflammation of the gut was found in 5 of 28 (17%) children, and 15 of 28 (53%) children showed mild nonspecific inflammation. Eight patients (27%) had predominantly an eosinophilic infiltrate. Twenty-six patients had previously received treatment for JIA. There was a negative association with the use of immunomodulators and the presence of eosinophil inflammation.

conclusionThe majority of children with JIA and GI symptoms have histological evidence of mild nonspecific inflammation, but some having active colitis and prominent eosinophil infiltrate.

Indexed as

AdolescentAge of OnsetArthritis, JuvenileArthritis, PsoriaticBiopsyChildChild, PreschoolEndoscopyFemaleGastrointestinal DiseasesGastrointestinal TractHumansInfantIntestinal MucosaMaleRetrospective Studies

Identifiers

PMID26882369
OpenAlexW2282756251

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.