Evidence map›Paper›PMID 42516937›Full record

ArticleCase reports in rheumatology2026

Multierosive Juvenile Idiopathic Arthritis With Positive Rheumatoid Factor: A Case Report of a Young Girl Followed at the University Clinics of Bukavu.

Delphin Murhula Katabana, Théophile Barhwamire Kabesha, Rodrigue Mupenda Mwenibamba, Roland Lwandiko Cibenda, Paul Ngongo Tshonda, Archippe Birindwa Muhandule, Philippe Katchunga Bianga, Tony Shindano Akilimali

Abstract read
In one paragraph

Article in Case reports in rheumatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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.

Delphin Murhula KatabanaInternal Medicine Department, Bukavu University Clinics, Official University of Bukavu, Bukavu, Democratic Republic of the Congo.ORCID https://orcid.org/0000-0002-7494-216X
Théophile Barhwamire KabeshaOphthalmology Department, Bukavu University Clinics, Official University of Bukavu, Bukavu, Democratic Republic of the Congo.ORCID https://orcid.org/0000-0003-0574-4271
Rodrigue Mupenda MwenibambaOrthopedic Surgery Department, Bukavu University Clinics, Official University of Bukavu, Bukavu, Democratic Republic of the Congo.ORCID https://orcid.org/0009-0002-1795-2852
Roland Lwandiko CibendaInternal Medicine Department, Bukavu University Clinics, Official University of Bukavu, Bukavu, Democratic Republic of the Congo.ORCID https://orcid.org/0009-0001-6698-8934
Paul Ngongo TshondaInternal Medicine Department, Bukavu University Clinics, Official University of Bukavu, Bukavu, Democratic Republic of the Congo.ORCID https://orcid.org/0009-0007-1289-8582
Archippe Birindwa MuhandulePediatric Department, Bukavu University Clinics, Official University of Bukavu, Bukavu, Democratic Republic of the Congo.ORCID https://orcid.org/0000-0002-0666-9763
Philippe Katchunga BiangaInternal Medicine Department, Bukavu University Clinics, Official University of Bukavu, Bukavu, Democratic Republic of the Congo.ORCID https://orcid.org/0000-0003-0563-6465
Tony Shindano AkilimaliInternal Medicine Department, Bukavu University Clinics, Official University of Bukavu, Bukavu, Democratic Republic of the Congo.ORCID https://orcid.org/0000-0002-4473-8088

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Polyarticular juvenile idiopathic arthritis (JIA) with positive rheumatoid factor is a rare and severe form of chronic inflammatory rheumatism in children. We report the case of a young girl treated at the University Clinics of Bukavu (eastern DR Congo), whose disease began at the age of 10. The course of the disease was characterized by highly inflammatory polyarthritis with severe multierosive lesions. Immunological testing revealed positivity for rheumatoid factor and anti-CCP antibodies. Diagnosis and treatment were delayed for approximately nine years (2008-2017). Management was complicated by poor adherence and discontinuation of methotrexate and corticosteroids. The patient subsequently died to recurrent infectious complications and hypertension. This case illustrates the impact of diagnostic delay and difficulties in accessing care on the prognosis of severe forms of JIA in resource-limited settings.

Indexed as

diagnostic delayDR Congojuvenile idiopathic arthritismultierosiverheumatoid factor

Identifiers

PMID42516937
PMCPMC13402889

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.