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Juvenile Psoriatic Arthritis

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Atlas of Psoriatic Arthritis

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Abstract

Musculoskeletal complaints in children are common, affecting 5–15% of children and adolescents [1]. The differential diagnosis is broad; in most cases the cause is mechanical rather than inflammatory in origin, often benign and self limiting, and without long-term sequelae. However, it must be remembered that some severe and even potentially life-threatening diseases can present with musculoskeletal symptoms and, therefore, it is always vital to consider and exclude conditions such as infection (septic arthritis or osteomyelitis), malignancy (leukemia, neuroblastoma, or bone tumor), severe trauma (including nonaccidental injury), and some age-specific conditions that are unique to childhood (Perthes disease or slipped capital femoral epiphysis). Early and accurate diagnosis is important. A careful clinical history and examination, accompanied by knowledge of the normal musculoskeletal system in children and adolescents, and judicious use of a few appropriate investigations often leads to an accurate diagnosis.

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References

  1. Goodman JE, McGrath PJ. The epidemiology of pain in children and adolescents — a review. Pain 1991;46:247–264.

    Article  PubMed  CAS  Google Scholar 

  2. Cabral DA, Petty RE, Malleson PN et al. Visual prognosis in children with chronic anterior uveitis and arthritis. J Rheumatol 1994;21:2370–2375.

    PubMed  CAS  Google Scholar 

  3. Rosenberg AM. Uveitis associated with juvenile rheumatoid arthritis. Semin Arthritis Rheum 1987;16:158–173.

    Article  PubMed  CAS  Google Scholar 

  4. White PH. Growth abnormalities in children with juvenile rheumatoid arthritis. Clin Orthop Relat Res 1990;259:46–50.

    PubMed  Google Scholar 

  5. Welbury RR, Thomason JM, Fitzgerald LJ et al. Increased prevalence of dental caries and poor oral hygiene in juvenile idiopathic arthritis. Rheumatology 2003;42:1445–1451.

    Article  PubMed  CAS  Google Scholar 

  6. Laxer RM, Shore AD, Manson D et al. Chronic recurrent multifocal osteomyelitis and psoriasis — a report of a new association and review of related disorders. Semin Arthritis Rheum 1988;17:260–270.

    Article  PubMed  CAS  Google Scholar 

  7. Roberton DM, Cabral DA, Malleson PN et al. Juvenile psoriatic arthritis: followup and evaluation of diagnostic criteria. J Rheumatol 1996;23:166–170.

    PubMed  CAS  Google Scholar 

  8. Shore A, Ansell BM. Juvenile psoriatic arthritis — an analysis of 60 cases. J Pediatr 1982;100:529–535.

    Article  PubMed  CAS  Google Scholar 

  9. Petty RE. Growing pains: the ILAR classification of juvenile idiopathic arthritis. J Rheumatol 2001;28:927–928.

    PubMed  CAS  Google Scholar 

  10. Southwood TR, Petty RE, Malleson PN et al. Psoriatic arthritis in children. Arthritis Rheum 1989;32:1007–1013.

    Article  PubMed  CAS  Google Scholar 

  11. Vasey FB, Deitz C, Fenske NA et al. Possible involvement of group A streptococci in the pathogenesis of psoriatic arthritis. J Rheumatol 1982;9:719–722.

    PubMed  CAS  Google Scholar 

  12. Telfer NR, Chalmers RJ, Whale K et al. The role of streptococcal infection in the initiation of guttate psoriasis. Arch Dermatol 1992;128:39–42.

    Article  PubMed  CAS  Google Scholar 

  13. Oen K, Fast M, Postl B. Epidemiology of juvenile rheumatoid arthritis in Manitoba, Canada, 1975–92: cycles in incidence. J Rheumatol 1995;22:745–750.

    PubMed  CAS  Google Scholar 

  14. Laxer R. Hospital for Sick Children Atlas of Pediatrics. Edited by R Laxer, EL Ford-Jones, J Friedman et al. Philadelphia, PA: Current Medicine, Inc; 2005.

    Google Scholar 

  15. Symmons DP, Jones M, Osborne J et al. Pediatric rheumatology in the United Kingdom: data from the British Pediatric Rheumatology Group National Diagnostic Register. J Rheumatol 1996;23:1975–1980.

    PubMed  CAS  Google Scholar 

  16. Malleson PN, Fung MY, Rosenberg AM. The incidence of pediatric rheumatic diseases: results from the Canadian Pediatric Rheumatology Association Disease Registry. J Rheumatol 1996;23:1981–1987.

    PubMed  CAS  Google Scholar 

  17. Gare BA, Fasth A. The natural history of juvenile chronic arthritis: a population based cohort study. I. Onset and disease process. J Rheumatol 1995;22:295–307.

    PubMed  CAS  Google Scholar 

  18. Bowyer S, Roettcher P. Pediatric rheumatology clinic populations in the United States: results from a 3 year survey. Pediatric Rheumatology Database Research Group. J Rheumatol 1996;23:1968–1974.

    PubMed  CAS  Google Scholar 

  19. Lambert JR AB, Stephenson E. Psoriatic arthritis in childhood. Clin Rheum Dis 1976;2:339–352.

    Google Scholar 

  20. Calabro JJ. Psoriatic arthritis in children. Arthritis Rheum 1977;20:415–416.

    Article  Google Scholar 

  21. Sills EM. Psoriatic arthritis in childhood. Johns Hopkins Med J 1980;146:49–53.

    PubMed  CAS  Google Scholar 

  22. Wesolowska H. Clinical course of psoriatic arthropathy in children. Mater Med Pol 1985;17:185–187.

    PubMed  CAS  Google Scholar 

  23. Textbook of Pediatric Rheumatology (Fifth Edition). Edited by JT Cassidy, RE Petty, RM Laxer et al. Elsevier Saunders, 2005.

    Google Scholar 

  24. Huemer C, Malleson PN, Cabral DA et al. Patterns of joint involvement at onset differentiate oligoarticular juvenile psoriatic arthritis from pauciarticular juvenile rheumatoid arthritis. J Rheumatol 2002;29:1531–1535.

    PubMed  Google Scholar 

  25. McGonagle D. Imaging the joint and enthesis: insights into pathogenesis of psoriatic arthritis. Ann Rheum Dis 2005;64(Suppl 2):ii58–ii60.

    Article  PubMed  Google Scholar 

  26. Hull RG. Management guidelines for arthritis in children. Rheumatology 2001;40:1308.

    Article  PubMed  CAS  Google Scholar 

  27. Kane D, Balint PV, Sturrock R et al. Musculoskeletal ultrasound — a state of the art review in rheumatology. Part 1: Current controversies and issues in the development of musculoskeletal ultrasound in rheumatology. Rheumatology 2004;43:823–828.

    Article  PubMed  CAS  Google Scholar 

  28. Doria AS, Kiss MH, Lotito AP et al. Juvenile rheumatoid arthritis of the knee: evaluation with contrast-enhanced color Doppler ultrasound. Pediatr Radiol 2001;31:524–531.

    Article  PubMed  CAS  Google Scholar 

  29. El-Miedany YM, Housny IH, Mansour HM et al. Ultrasound versus MRI in the evaluation of juvenile idiopathic arthritis of the knee. Joint Bone Spine 2001;68:222–230.

    Article  PubMed  CAS  Google Scholar 

  30. Giannini EH, Brewer EJ, Kuzmina N et al. Methotrexate in resistant juvenile rheumatoid arthritis. Results of the U.S.A.-U.S.S.R. double-blind, placebo-controlled trial. The Pediatric Rheumatology Collaborative Study Group and The Cooperative Children’s Study Group. N Engl J Med 1992;326:1043–1049.

    PubMed  CAS  Google Scholar 

  31. Wallace CA. The use of methotrexate in childhood rheumatic diseases. Arthritis Rheum 1998;41:381–391.

    Article  PubMed  CAS  Google Scholar 

  32. Giannini EH, Cassidy JT, Brewer EJ et al. Comparative efficacy and safety of advanced drug therapy in children with juvenile rheumatoid arthritis. Semin Arthritis Rheum 1993;23:34–46.

    Article  PubMed  CAS  Google Scholar 

  33. Allen RC, Gross KR, Laxer RM et al. Intraarticular triamcinolone hexacetonide in the management of chronic arthritis in children. Arthritis Rheum 1986;29:997–1001.

    Article  PubMed  CAS  Google Scholar 

  34. Zulian F, Martini G, Gobber D et al. Triamcinolone acetonide and hexacetonide intra-articular treatment of symmetrical joints in juvenile idiopathic arthritis: a double-blind trial. Rheumatology 2004;43:1288–1291.

    Article  PubMed  CAS  Google Scholar 

  35. Sherry DD, Stein LD, Reed AM et al. Prevention of leg length discrepancy in young children with pauciarticular juvenile rheumatoid arthritis by treatment with intraarticular steroids. Arthritis Rheum 1999;42:2330–2334.

    Article  PubMed  CAS  Google Scholar 

  36. NICE Guidance. Etanercept for the treatment of juvenile idiopathic arthritis. 2002:(no 35). Available at: www.nice.org.uk/page.aspx?o=ta 035# documents.

    Google Scholar 

  37. Lovell DJ, Giannini EH, Reiff A et al. Etanercept in children with polyarticular juvenile rheumatoid arthritis. Pediatric Rheumatology Collaborative Study Group. N Engl J Med 2000;342:763–769.

    Article  PubMed  CAS  Google Scholar 

  38. Lovell DJ, Giannini EH, Reiff A et al. Long-term efficacy and safety of etanercept in children with polyarticular-course juvenile rheumatoid arthritis: interim results from an ongoing multicenter, open-label, extended-treatment trial. Arthritis Rheum 2003;48:218–226.

    Article  PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. School of Clinical Medical Sciences, Newcastle University, Newcastle, UK

    Helen Foster

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  1. Helen Foster
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Editor information

Editors and Affiliations

  1. School of Medicine, University of Washington, Seattle, WA, USA

    P. J. Mease MED (RHUUH)

  2. Academic Unit of Musculoskeletal and Rehabilitation Medicine, University of Leeds, Leeds, UK

    P. S. Helliwell DM, PhD, FRCP

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© 2008 Springer-Verlag London Limited

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Foster, H. (2008). Juvenile Psoriatic Arthritis. In: Mease, P.J., Helliwell, P.S. (eds) Atlas of Psoriatic Arthritis. Springer, London. https://doi.org/10.1007/978-1-84628-897-5_6

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  • DOI: https://doi.org/10.1007/978-1-84628-897-5_6

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84628-896-8

  • Online ISBN: 978-1-84628-897-5

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