Summary
Using a standard questionnaire, parents of 70 children with type 1 pauciarticular juvenile chronic arthritis were asked about inflammatory backpain. When the answer was positive, the parents were seen by a rheumatologist who used the preliminary criteria of the European Spondylarthropathy Study Group to decide whether the parent had spondylarthropathy or not. A diagnosis of spondylarthropathy was established in 6 out of 138 parents (4%). This is considerably higher than the expected prevalence of spondylarthropathy, which should not exceed 0.25%. This finding sheds a new light on pauciarticular JCA, type 1, since no adult counterpart has as yet been described.
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Van der Linden, S.M., Valkenburg, H.A., de Jongh, B.M., Cats, A. The risk of developing ankylosing spondylitis in HLA-B27 positive individuals. Arthritis Rheum 1984, 27, 241–249.
Wolfe, F., Klainheksel, S.M., Khan, M.A. Prevalence of familial occurrence in patients with rheumatoid arthritis. Br J Rheumatol 1988, 27 (suppl 11), 150–152.
Ansell, B.M., Bywaters, E.G.L., Lawrence, J.S. Familial aggregation and twin studies in Still's disease. Rheumatology 1969, 2, 37–61.
Yodfat, Y., Yossipovitch, Z., Cohen, I., Shapira, E. A family with a high incidence of juvenile rheumatoid arthritis. Ann Rheum Dis 1972, 31, 92–94.
Wood, P. The care of the rheumatic child. In: EULAR Monograph series. Ed.: Munthe, E. 1978, 42–50.
Ansell, B.M. Classification and nomenclature. In: Paediatric Rheumatology Update. Eds.: Woo, P., White, P.H. and Ansell, B.M., 1990, 3–5.
Schaller, J.G. Pauciarticular arthritis of childhood (pauciarticular juvenile rheumatoid arthritis). Ann Pediatr 1983, 8, 557–563.
Hull, R.G. Outcome in juvenile arthritis. Brit J of Rheum 1988, 27 (suppl 1), 66–71.
Schaller, J.G. The seronegative spondyloarthropathies of childhood. Clin Orthop 1979, 143, 76–83.
Goei Thè, H.S., Steven, M.M., van der Linden, S.M., Cats, A. Evaluation of diagnostic criteria for ankylosing spondylitis: a comparison of the Rome, New York and modified New York criteria in patients with a positive clinical history screening test for ankylosing spondylitis. Br J Rheumatol 1985, 24, 242–249.
Van der Linden, S.M., Amor, B., Calin, A., Cats, A., Dijkmans, B., Dougados, M., Huitfeldt, B., Juhlin, R., Olivieri, I., Pasero, G., Ziedler, H. Preliminary criteria for the classification of the spondylarthropathy. European Spondylarthropathy Study Group (ESSG). Arthritis Rheum 1991, 34, 1218–1227.
Lawrence, R.C., Hochberg, M.C., Kelsey, J.L., McDuffie, F.C., Medsger, T.A., Felts, W.R., Shulman, L.E. Estimates of the prevalence of selected arthritic and musculoskeletal diseases in the United States. J Rheumatol 1989, 16, 427–441.
Boyer, G.S., Lanier, A.P., Templin, D.W. and Bulkow, L. Spondylarthropathy and rheumatoid arthritis in Alaskan Yupik Eskimos. J Rheumatol 1990, 17, 489–496.
Khan, M.A. Clinical application of the HLA-B27 test in rheumatic diseases: a current perspective. Arch Int Med 1980, 140, 177–178.
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Hertzberger-Ten Cate, R., Dijkmans, B.A.C. Increased prevalence of spondylarthropathies in parents of children with pauciarticular juvenile chronic arthritis, type 1. Clin Rheumatol 12, 361–363 (1993). https://doi.org/10.1007/BF02231580
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DOI: https://doi.org/10.1007/BF02231580