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Rheumatology International

, Volume 33, Issue 9, pp 2315–2322 | Cite as

Prevalence of juvenile idiopathic arthritis in Sharkia Governorate, Egypt: epidemiological study

  • Amany M. Abou El-Soud
  • Amany R. El-NajjarEmail author
  • Eman E. El-Shahawy
  • Hanan A. Amar
  • Tamer H. Hassan
  • Somia H. Abd-Allaha
  • Hosnia M. Ragab
Original Article

Abstract

Our objective was to determine the prevalence juvenile idiopathic arthritis (JIA) in Sharkia Governorate, Egypt. Population-based study was performed to identify the prevalence of JIA in Sharkia Governorate, Egypt, between November 2009 and November 2010. Prevalence of JIA was 3.43 per 100,000 (95 % CI 3.1–4.3). Prevalence in boys was 2.58 per 100,000 (95 % CI 2.4–3.6) and in girls 4.33 per 100,000 (95 % CI 3.3–5.1). Uveitis presented in 19.7 % of cases, antinuclear antibody in 48.5 %, and rheumatoid factor in 27.2 %. Oligoarthritis representing 52.2 % of the total population, and enthesitis-related arthritis presented only in 6 patients. No cases of undifferentiated arthritis or psoriatic arthritis were found. This is the first epidemiological study of JIA in Sharkia, Egypt. Oligoarthritis was the most common subtype.

Keywords

Prevalence Juvenile idiopathic arthritis Sharkia Egypt 

References

  1. 1.
    Oliver JE, Silman A (2009) What epidemiology has told us about risk factors and aetiopathogenesis in rheumatic diseases? Arthr Res Ther 11:223CrossRefGoogle Scholar
  2. 2.
    Heiligenhaus A, Niewerth M, Ganser G, Heinz C, Minden K, German Uveitis in Childhood Rheumatology (2007) Prevalence and complications of uveitis in juvenile idiopathic arthritis in a population-based nation-wide study in Germany: suggested modification of the current screening guidelines. Rheumatology 46:1015–1019PubMedCrossRefGoogle Scholar
  3. 3.
    Oslon JC (2003) Juvenile idiopathic arthritis: an update. Wisconsin Med J 102(7):45–50Google Scholar
  4. 4.
    Huang L, Yao C, See C (2004) Prevalence of pediatric systemic lupus erythematosus and juvenile chronic arthritis in a Chinese population: a nation-wide prospective population-based study in Taiwan. Clin Exp Rheumatol 22:776–780PubMedGoogle Scholar
  5. 5.
    Solau-Gervais E, Robin C, Gambert C, Troller S, Danner S, Gombert B (2010) Prevalence and distribution of juvenile idiopathic arthritis in a region of Western France. Jt Bone Spine 77(1):47–49CrossRefGoogle Scholar
  6. 6.
    Helmick CharlesG, Felson DavidT, Lawrence RevaC, Gabriel Sherine (2008) Estimates of the prevalence of arthritis and other rheumatic conditions in the United States. Arthr Rheum 58(1):15–25CrossRefGoogle Scholar
  7. 7.
    Riise R, Handeland S, Cvancarova M, Wathne K, Nakstad B, Abrahamsen TG (2008) Incidence and characteristics of arthritis in Norwegian children: a population-based study. Pediatric 121:e299–e306CrossRefGoogle Scholar
  8. 8.
    Gabriel SE, Michaud K (2009) Epidemiological studies in incidence, prevalence, mortality, and co morbidity of the rheumatic diseases. Arthr Res Ther 11:229CrossRefGoogle Scholar
  9. 9.
    Alamanos Y, Drosos A (2005) Epidemiology of adult rheumatoid arthritis. Autoimmun Rev 4(3):130–136PubMedCrossRefGoogle Scholar
  10. 10.
    Petty RE, Southwood TR, Manners P (2004) International league of Associations for rheumatology classification of juvenile idiopathic arthritis. Second revision, Edmonton, 2001. J Rheumatol 31:390–392PubMedGoogle Scholar
  11. 11.
    Silman AJ, Hochberg MC (1993) Epidemiology of the rheumatic diseases. Oxford University Press, OxfordGoogle Scholar
  12. 12.
    Arguedas O, Fasth A, Andersson-Gare B, Porras O (1998) Juvenile chronic arthritis in urban San Jose, Costa Rica: a 2 year prospective study. J Rheumatol 25(9):1844–1850PubMedGoogle Scholar
  13. 13.
    Gare BA, Fasth A (1992) Epidemiology of juvenile chronic arthritis in southwestern Sweden: a 5-year prospective population study. Pediatrics 90(6):950–958PubMedGoogle Scholar
  14. 14.
    Laaksonen AL (1966) A prognostic study of juvenile rheumatoid arthritis. Analysis of 544 cases. Acta Paediatr Scandinavica 1–163. PMID: 5944408 [PubMed - indexed for MEDLINE]Google Scholar
  15. 15.
    Baum J (1977) Epidemiology of juvenile rheumatoid arthritis (JRA). Arthr Rheum 20:158–160CrossRefGoogle Scholar
  16. 16.
    Gewanter HL, Roghmann KJ, Baum J (1983) The prevalence of juvenile arthritis. Arthr Rheum 26(5):599–603CrossRefGoogle Scholar
  17. 17.
    Manners PJ, Diepeveen DA (1996) Prevalence of juvenile chronic arthritis in a population of 12-year-old children in urban Australia. Pediatrics 98(1):84–90PubMedGoogle Scholar
  18. 18.
    Mielants H, Veys EM, Maertens M, Goemaere S, De Clercq L, Castro S (1993) Prevalence of inflammatory rheumatic diseases in an adolescent urban student population, age 12–18, in Belgium. Clin Exp Rheumatol 11(5):563–567PubMedGoogle Scholar
  19. 19.
    Danner S, Sordet C, Terzic J, Donato L, Velten M, Fischbach M, Sibilia J (2006) Epidemiology of juvenile idiopathic arthritis in Alsace, France. J Rheumatol 33(7):1377–1381PubMedGoogle Scholar
  20. 20.
    Hanova P, Pavelka K, Dostal C, Holcatova I, Pikhart H (2006) Epidemiology of rheumatoid arthritis, juvenile idiopathic arthritis and gout in two regions of the Czech Republic in a descriptive population-based survey in 2002–2003. Clin Exp Rheumatol 24(5):499–507PubMedGoogle Scholar
  21. 21.
    JRA Criteria Subcommittee of the Diagnostic and Therapeutic Criteria Committee of the American Rheumatism Association (1977) Current proposed revision of the JRA criteria. Arthr Rheum 20(Suppl 2):195–199Google Scholar
  22. 22.
    European League Against Rheumatism (1977) EULAR Bulletin No. 4: Nomenclature and classification of arthritis in children. Basel: National Zeitung AGGoogle Scholar
  23. 23.
    Petty RE, Southwood TR, Baum J, Bhettay E, Glass DN, Manners P (1998) Revision of the proposed classification criteria for juvenile idiopathic arthritis: Durban, 1997. J Rheumatol 25:1991–1994PubMedGoogle Scholar
  24. 24.
    Manners PJ, Bower C (2002) Worldwide prevalence of juvenile arthritis: why does it vary so much? J Rheumatol 29:1520–1530PubMedGoogle Scholar
  25. 25.
    Pruunsild C, Uibo K, Liivamagi H, Tarraste S, Talvik T, Pelkonen P (2007) Prevalence and short-term outcome of juvenile idiopathic arthritis: a population-based study in Estonia. Clin Exp Rheumatol 25:649–653PubMedGoogle Scholar
  26. 26.
    Modesto C, Antn J, Rodriguez B, Bou R, Arnal C, Ros J (2010) Incidence and prevalence of juvenile idiopathic arthritis in Catalonia (Spain). Scand J Rheumatol 39:472–479PubMedCrossRefGoogle Scholar
  27. 27.
    Kiessling U, Döring E, Listing J, Meincke J, Schöntube M, Strangfeld A, Zink A (1998) Incidence and prevalence of juvenile chronic arthritis in East Berlin 1980–1988. J Rheumatol 25(9):1837–1843PubMedGoogle Scholar
  28. 28.
    Yilmaz M, Kendirli SG, Altinas DU, Karakoc GB, Inal A, Kilic M (2008) Juvenile idiopathic arthritis profile in Turkish children. Pediatr Int 50(2):154–158PubMedCrossRefGoogle Scholar
  29. 29.
    Malievskiy VA (2011) Prevalence and incidence of juvenile idiopathic arthritis in children in the republic of Bashkortostan: the epidemiological study. Pediatr Rheumatol 9(Suppl 1):145CrossRefGoogle Scholar
  30. 30.
    Ehrmann Feldman D, Bernatsky S, Houde M (2009) The incidence of juvenile rheumatoid arthritis in Quebec: a population data-based study. Pediatr Rheumatol Online J 7:20PubMedCrossRefGoogle Scholar
  31. 31.
    Arguedas O, Porras O, Fasth A (1995) Juvenile chronic arthritis in Costa Rica. a pilot referral study. Clin Exp Rheumatol 13(1):119–123PubMedGoogle Scholar
  32. 32.
    Martinez Mengual L, Fernandez Menendez JM, Solis Sanchez G, Fernandez Diaz M (2007) Epidemiological study of juvenile idiopathic arthritis in the last sixteen years in Asturias (Spain). An Pediatr Barc 66(1):24–30PubMedCrossRefGoogle Scholar
  33. 33.
    Kunjir V, Venugopalan A, Chopra A (2010) Profile of Indian patients with juvenile onset chronic inflammatory joint disease using the ILAR classification criteria for JIA: a community-based cohort study. J Rheumatol 37(8):1756–1762PubMedCrossRefGoogle Scholar
  34. 34.
    Skarin A, Elborgh R, Edlund E, Bengtsson-Stigmar E (2009) Long-term follow-up of patients with uveitis associated with juvenile idiopathic arthritis: a cohort study. Ocul Immunol Inflamm 17(2):104–108PubMedCrossRefGoogle Scholar
  35. 35.
    Grassi A, Corona E, Casellato A (2007) Prevalence and outcome of juvenile idiopathic arthritis-associated uveitis and relation to articular disease. J Rheumatol 34(5):1139–1145PubMedGoogle Scholar
  36. 36.
    Saurenmann RK, Levin AV, Feldman BM (2007) Prevalence, risk factors, and outcome of uveitis in juvenile idiopathic arthritis: a long-term followup study. Arthr Rheum 56(2):647–657CrossRefGoogle Scholar
  37. 37.
    Berk AT, Kocak N, Unsal E (2001) Uveitis in juvenile arthritis. Ocul Immunol Inflamm 9(4):243–251PubMedCrossRefGoogle Scholar
  38. 38.
    Bolt IB, Cannizzaro E, Seger R, Saurenmann RK (2008) Risk factors and longterm outcome of juvenile idiopathic arthritis-associated uveitis in Switzerland. J Rheumatol 35(4):703–706PubMedGoogle Scholar
  39. 39.
    Berntson L, Andersson Gare B, Fasth A, Herlin T, Kristinsson J, Lahdenne P (2003) Nordic study group. Incidence of juvenile idiopathic arthritis in the Nordic countries. A population based study with special reference to the validity of the ILAR and EULAR criteria. J Rheumatol 30:2275–2282PubMedGoogle Scholar
  40. 40.
    Kurahara DK, Grandinetti A, Fujii LL, Tokuda AA, Galario JA, Han MJ (2007) Visiting consultant clinics to study prevalence rates of juvenile rheumatoid arthritis and childhood systemic lupus erythematosus across dispersed geographic areas. J Rheumatol 34:425–429PubMedGoogle Scholar
  41. 41.
    Koskull von, Truckenbrodt H, Holle R, Hormann A (2001) Incidence and prevalence of juvenile arthritis in an urban population of southern Germany: a prospective study. Ann Rheum Dis 60(10):940–945CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Amany M. Abou El-Soud
    • 1
  • Amany R. El-Najjar
    • 1
    Email author
  • Eman E. El-Shahawy
    • 1
  • Hanan A. Amar
    • 1
  • Tamer H. Hassan
    • 2
  • Somia H. Abd-Allaha
    • 3
  • Hosnia M. Ragab
    • 4
  1. 1.Rheumatology and Rehabilitation Department, Faculty of MedicineZagazig UniversityZagazigEgypt
  2. 2.Pediatric Department, Faculty of MedicineZagazig UniversityZagazigEgypt
  3. 3.Medical Biochemistry Department, Faculty of MedicineZagazig UniversityZagazigEgypt
  4. 4.Community Medicine, Faculty of MedicineZagazig UniversityZagazigEgypt

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