ACR Meeting Abstracts

ACR Meeting Abstracts

  • Meetings
    • ACR Convergence 2024
    • ACR Convergence 2023
    • 2023 ACR/ARP PRSYM
    • ACR Convergence 2022
    • ACR Convergence 2021
    • ACR Convergence 2020
    • 2020 ACR/ARP PRSYM
    • 2019 ACR/ARP Annual Meeting
    • 2018-2009 Meetings
    • Download Abstracts
  • Keyword Index
  • Advanced Search
  • Your Favorites
    • Favorites
    • Login
    • View and print all favorites
    • Clear all your favorites
  • ACR Meetings

Abstract Number: 0727

Hip Involvement Leads to Poor Outcome in Adulthood in Children with Enthesitis Related Arthritis (ERA) Category of Juvenile Idiopathic Arthritis (JIA)

Naveen R1, Namita Mohindra1, Neeraj Jain1 and Amita Aggarwal2, 1Sanjay Gandhi Post graduate institute of medical sciences, Lucknow, Uttar Pradesh, India, 2Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India

Meeting: ACR Convergence 2020

Keywords: Juvenile idiopathic arthritis, Outcome measures, Pediatric rheumatology, radiography

  • Tweet
  • Click to email a link to a friend (Opens in new window) Email
  • Click to print (Opens in new window) Print
Session Information

Date: Saturday, November 7, 2020

Title: Pediatric Rheumatology – Clinical Poster II: JIA

Session Type: Poster Session B

Session Time: 9:00AM-11:00AM

Background/Purpose: Enthesitis related arthritis (ERA) is the commonest category of JIA seen in India and constitutes 30-40% of all JIA patients. There are many studies on long term outcomes in adult Spondyloarthritis but the data in children with ERA is scant. The available data is also mostly from developed countries. Thus, we studied outcome of ERA in adulthood in resource constrained setting where there is limited availability of anti-TNF agents.

Methods: Patients with ERA (ILAR classification) having >5 years of disease and above the age of 18 years were included in the study. Data on clinical features, Bath indices (BASMI, BASDAI, BASFI), health assessment questionnaire disability index (HAQ DI) was collected. CRP was measured by Nephelometry. X-ray pelvis including hips was obtained and compared with baseline X-ray available at first visit to our hospital for progression of radiological sacroiliitis and hip arthritis. The X-rays were assessed by two radiologists. In addition, fulfilment of adult criteria of Spondyloarthropathy (SpA), assessment of Spondylarthritis International Society (ASAS) and modified New York (NY)] were assessed.

Results: 73 patients (72 male) of median age 20 (18-23) years and median disease duration of 8 (5.5-11) years were recruited. There was delay in diagnosis of 4 (1.75-6) years. Nearly all (96%) had active disease (BASDAI >0) and median CRP was 2.1 (0.6-4.8) mg/dl. Three-fourth (75.3%) had functional disability (HAQ DI >0) and median BASFI was 1.95 (0.6-3.5).  67 patients fulfilled axial ASAS criteria, while 71 fulfilled peripheral SpA criteria.

Overall, 81% had radiological sacroiliitis and 37% had hip involvement. Nearly half (46.6%) of the patients had radiological progression in sacroiliitis and one-fourth (25%) had progression of hip arthritis over 3.5 (2.5-5.5) years. Patients with radiological sacroiliitis had higher CRP (2.5 vs 1 mg/dl) and more hip arthritis (37 vs 7%) than those without it.

Those with radiological hip arthritis had longer delay in diagnosis (6 vs 3 years) than those without it. They also had higher BASDAI, BASMI, BASFI and HAQ DI. Hip arthritis correlated with radiological sacroiliitis (r= 0.301). Fulfillment of modified NY criteria was seen more often in patients with hip arthritis (95% vs 63%; p< 0.002) (Table 1).

Conclusion: Most adults with ERA have active disease even after 8 years of disease Hip involvement is associated with poorer outcome.


Disclosure: N. R, None; N. Mohindra, None; N. Jain, None; A. Aggarwal, None.

To cite this abstract in AMA style:

R N, Mohindra N, Jain N, Aggarwal A. Hip Involvement Leads to Poor Outcome in Adulthood in Children with Enthesitis Related Arthritis (ERA) Category of Juvenile Idiopathic Arthritis (JIA) [abstract]. Arthritis Rheumatol. 2020; 72 (suppl 10). https://acrabstracts.org/abstract/hip-involvement-leads-to-poor-outcome-in-adulthood-in-children-with-enthesitis-related-arthritis-era-category-of-juvenile-idiopathic-arthritis-jia/. Accessed .
  • Tweet
  • Click to email a link to a friend (Opens in new window) Email
  • Click to print (Opens in new window) Print

« Back to ACR Convergence 2020

ACR Meeting Abstracts - https://acrabstracts.org/abstract/hip-involvement-leads-to-poor-outcome-in-adulthood-in-children-with-enthesitis-related-arthritis-era-category-of-juvenile-idiopathic-arthritis-jia/

Advanced Search

Your Favorites

You can save and print a list of your favorite abstracts during your browser session by clicking the “Favorite” button at the bottom of any abstract. View your favorites »

All abstracts accepted to ACR Convergence are under media embargo once the ACR has notified presenters of their abstract’s acceptance. They may be presented at other meetings or published as manuscripts after this time but should not be discussed in non-scholarly venues or outlets. The following embargo policies are strictly enforced by the ACR.

Accepted abstracts are made available to the public online in advance of the meeting and are published in a special online supplement of our scientific journal, Arthritis & Rheumatology. Information contained in those abstracts may not be released until the abstracts appear online. In an exception to the media embargo, academic institutions, private organizations, and companies with products whose value may be influenced by information contained in an abstract may issue a press release to coincide with the availability of an ACR abstract on the ACR website. However, the ACR continues to require that information that goes beyond that contained in the abstract (e.g., discussion of the abstract done as part of editorial news coverage) is under media embargo until 10:00 AM ET on November 14, 2024. Journalists with access to embargoed information cannot release articles or editorial news coverage before this time. Editorial news coverage is considered original articles/videos developed by employed journalists to report facts, commentary, and subject matter expert quotes in a narrative form using a variety of sources (e.g., research, announcements, press releases, events, etc.).

Violation of this policy may result in the abstract being withdrawn from the meeting and other measures deemed appropriate. Authors are responsible for notifying colleagues, institutions, communications firms, and all other stakeholders related to the development or promotion of the abstract about this policy. If you have questions about the ACR abstract embargo policy, please contact ACR abstracts staff at [email protected].

Wiley

  • Online Journal
  • Privacy Policy
  • Permissions Policies
  • Cookie Preferences

© Copyright 2025 American College of Rheumatology