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Comparison of Clinical and Laboratory Variables in Familial versus Sporadic Systemic Onset Juvenile Idiopathic Arthritis

SULAIMAN M. AL-MAYOUF, SANA M. MADI, KHALID ALMANE, and SULIMAN AL JUMMAH

ABSTRACT.

Objective
. To compare patients with familial versus sporadic juvenile idiopathic arthritis (JIA) with respect to clinical and laboratory variables.

Methods. The familial JIA group comprised 11 affected siblings belonging to 4 families, while the comparative group comprised 22 patients selected by systematic sampling from JIA patients presenting to our pediatric rheumatology clinic; the first patient was chosen randomly and the subsequent patients chosen at intervals of 3. The 2 groups were compared with respect to demographic information, age at onset of disease, disease activity, disease damage, and laboratory variables.

Results. The 2 groups were comparable with respect to age, sex, and onset type of disease. All patients from the familial group were from a southern province of Saudi Arabia (p = 0.001). The familial group had an earlier age at onset of disease (p = 0.039), the mean number of actively inflamed joints was higher (p = 0.009), and functional capacity as measured by Childhood HAQ was worse (p = 0.048), compared with the sporadic group. Other variables showed no significant differences.

Conclusion. The comparison of patients with familial versus sporadic JIA revealed a significant difference in origin of patients and age at onset of disease. These differences may be helpful in identifying the predisposing genes in familial patients with JIA. (J Rheumatol 2006;33:597–600)

Key Indexing Terms:

JUVENILE IDIOPATHIC ARTHRITIS
FAMILIAL ARTHRITIS
SAUDI ARABIA


From the Departments of Pediatrics, Physiotherapy, and Radiology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.

S.M. Al-Mayouf, MD, Consultant, Department of Pediatrics; S.M. Madi, PT, Department of Physiotherapy; K. AlMane, MD, Department of Radiology; S. Al Jummah, MD, Department of Pediatrics.

Address reprint requests to Dr. S.M. Al-Mayouf, Department of Pediatrics, MBC-58, King Faisal Specialist Hospital and Research Center, PO Box 3354, Riyadh 11211, Saudi Arabia. E-mail: mayouf@kfshrc.edu.sa

Accepted for publication October 19, 2005.


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