Pediatric rheumatology

Clinical insights into heterogeneity of rheumatoid factor negative polyarticular juvenile idiopathic arthritis across the world

Pediatr Rheumatol Online JPublished Cross-sectional study

Authors' conclusion

Our results confirm the wide heterogeneity of the clinical presentation and outcome of children with RF-negative polyarticular JIA throughout the world. In particular, relevant differences in the onset age were observed across geographic areas. The group of children with early onset polyarthritis, ANA positivity, and risk of uveitis is remarkably frequent in Southern Europe.

Study context

Population
Patients with rheumatoid factor (RF)-negative polyarticular juvenile idiopathic arthritis (JIA) from the multinational EPOCA studyof 9081 in EPOCA
Participants
2,141 patients
Exposure
RF-negative polyarticular JIA across geographic areas
Outcome
Prevalence of RF-negative polyarthritis
Methodological detailsmultinational, retrospective chart review, cross-sectional evaluation
  • Multinational
  • Retrospective chart review
  • Cross-sectional evaluation

Main finding

As reported in the abstract

Prevalence of RF-negative polyarthritis among EPOCA patients

23.6%

Prevalence lowest in Southeast Asia

12.7%

Early onset + ANA positivity + uveitis mainly in Southern Europe

39%

Observational data: associations, not effects.

Original publication

Clinical insights into heterogeneity of rheumatoid factor negative polyarticular juvenile idiopathic arthritis across the world. Pediatr Rheumatol Online J. Published 19 March 2025. doi:10.1186/s12969-025-01072-9

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