Pediatric rheumatology

A tale of two regions: comparing clinical features and outcomes in pediatric enthesitis-related arthritis

Pediatr Rheumatol Online JPublished Retrospective cohort study

Authors' conclusion

This study highlights notable differences in the clinical features and outcomes of ERA among Turkish and Tunisian children, emphasizing the potential influence of ethnic and regional factors on disease presentation and management.

Study context

Population
Children with Enthesitis-related Arthritis (ERA) from Istanbul Medical Faculty and Tunisia Kassab Institute (PReS Second Sister Hospital Initiative)
Participants
94 children
Exposure
Tunisian vs Turkish children with ERA
  • Tunisiann = 45
  • Turkishn = 49
Outcome
Clinical features and outcomes
Methodological detailsmulticentre, international comparison
  • Multicentre
  • International comparison

Main finding

As reported in the abstract

Biologics during disease course: nearly half of Turkish vs Tunisian
8.9%
HLA-B27 positivity and age at disease onset (no influence)
p = 0.45
HLA-B27 positivity associated with longer diagnostic delay
p < 0.001

Observational data: associations, not effects.

Original publication

A tale of two regions: comparing clinical features and outcomes in pediatric enthesitis-related arthritis. Pediatr Rheumatol Online J. Published 29 July 2025. doi:10.1186/s12969-025-01095-2

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