Bilateral Destructive Hip Disease from Untreated Juvenile Idiopathic Arthritis
Table 1
Six categories and definitions of juvenile idiopathic arthritis [2].
Categories of juvenile idiopathic arthritis
Definitions
Systemic arthritis
Arthritis in one or more joints with or preceded by fever ≥ 2 weeks’ duration and accompanied by one or more of the following: (1) Evansecent (nonfixed) erythematous rash (2) Generalized lymph node enlargement (3) Hepatomegaly and/or splenomegaly (4) Serositis
Psoriatic arthritis
Arthritis and psoriasis or arthritis and ≥2 of the following: (1) Dactylitis (2) Nail and pitting or onycholysis (3) Psoriasis in a first-degree relative
Enthesitis-related arthritis
Arthritis and enthesitis or arthritis or enthesitis with ≥2 of the following: (1) Presence of or a history of sacroiliac joint tenderness and/or inflammatory lumbosacral pain (2) Presence of HLA-B27 antigen (3) Onset of arthritis in a male >6 years of age (4) Acute (symptomatic) anterior uveitis (5) History of ankylosing spondylitis, enthesitis-related arthritis, sacroiliitis with inflammatory bowel disease, Reiter’s syndrome, or acute anterior uveitis in a first-degree relative
Oligoarticular
Arthritis affecting 1-4 joints during the first 6 months of disease. Two subcategories: Persistent oligoarthritis: affecting ≤4 joints throughout the disease course Extended oligoarthritis: affecting >4 joints after the first 6 months of disease
Polyarthritis
Rheumatoid factor negative: arthritis affecting ≥5 joints during the first 6 months of disease; RF test is negative Rheumatoid factor positive: arthritis affecting ≥5 joints during the first 6 months of disease; 2 or more tests for RF at least 3 months apart during the first 6 months of disease are positive
Undifferentiated arthritis
Arthritis that fulfills criteria in no category or in 2 or more of the above categories