Evidence map›Paper›PMID 28086918›Full record

ArticlePediatric rheumatology online journal2017

Atypical monoarthritis presentation in children with oligoarticular juvenile idiopathic arthritis: a case series.

Natasha Lepore, Megan Cashin, Debra Bartley, Daniela Simona Ardelean

Abstract readCase Reports
In one paragraph

Article in Pediatric rheumatology online journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

4 authors.

Natasha LeporeDepartment of Pediatrics, University of Western Ontario, London, ON, Canada.
Megan CashinLawson Health Research Institute, London, ON, Canada.
Debra BartleyLawson Health Research Institute, London, ON, Canada.
Daniela Simona ArdeleanDepartment of Pediatrics, University of Western Ontario, London, ON, Canada. dardelea@uwo.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOligoarticular juvenile idiopathic arthritis (oligoJIA), the most common chronic inflammatory arthritis of childhood, usually involves the knees and ankles. Severe oligoJIA monoarthritis presenting in a joint other than knees and ankles, is rare.

findingsWe report four children who presented with severe isolated arthritis of the hip, wrist or elbow and were diagnosed with oligoJIA. All four were girls with a median age of 11.5 years. Those with hip arthritis also met the classification criteria for juvenile-onset spondylarthopathy. Median duration of symptoms prior to diagnosis was 9.5 months. Three children had already cartilage loss or erosive disease at diagnosis.

conclusionsChildren diagnosed with oligoJIA that present with monoarthritis of the hip, wrist and elbow can have aggressive disease. Girls with positive HLA-B27 presenting with isolated hip arthritis could meet the classification criteria for both oligoJIA and juvenile-onset SpA. Early referral to specialized care may improve their diagnosis, treatment and outcome.

Indexed as

AdolescentAdrenal Cortex HormonesAnti-Inflammatory Agents, Non-SteroidalArthralgiaArthritis, JuvenileChildFemaleGroinHip JointHumansIndomethacinKnee JointMagnetic Resonance ImagingMusculoskeletal PainTreatment OutcomeWrist JointAdrenal Cortex HormonesAnti-Inflammatory Agents, Non-SteroidalIndomethacinAtypical monoarthritisChildrenElbowHipoligoJIAPresentationWrist

Identifiers

PMID28086918
PMCPMC5237193

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Registered trials

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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.