Pediatric rheumatology

Disease characteristics of HLA-B27 positive and negative finnish patients with juvenile idiopathic arthritis - results of the 18-year cohort follow-up study

Pediatr Rheumatol Online JPublished Prospective cohort study

Authors' conclusion

The use of biological medication was more common in HLA-B27 positive patients with JIA. At the 18-year follow-up, more antigen positive patients had active disease compared HLA-B27 negative patients.

Study context

Population
Newly diagnosed Finnish patients with juvenile idiopathic arthritis (JIA) (International League of Associations for Rheumatology (ILAR) criteria), enrolled 1997–2000, Southern FinlandHLA-B27 available for 151
Participants
159 participants
Exposure
HLA-B27 positive vs HLA-B27 negative JIA
Outcome
Disease characteristics of HLA-B27 positive and negative patients
Follow-up
18-year follow-up
Methodological detailsconsecutive cases, long-term follow-up, defined area of Southern Finland, Mean follow-up 17.5 years
  • Consecutive cases
  • Long-term follow-up
  • Defined area of Southern Finland
  • Mean follow-up 17.5 years

Main finding

As reported in the abstract

Disease characteristics

HLA-B27 positive

25%

Observational data: associations, not effects.

Further findings

Chronic uveitis

Temporomandibular (TMJ) involvement

Biological medication at some point during follow-up

P = 0.003

OutcomeHLA-B27 POSITIVEHLA-B27 NEGATIVEP value
Cervical spine involvement0 events11%P = 0.022
Not in remission (HLA-B27 antigen positive vs antigen negative) · last follow-up— withheld: not confirmed against the abstract18%P = 0.017

— withheld: the automatic checks could not confirm the value against the abstract

  • Not in remission (HLA-B27 antigen positive vs antigen negative): antigen positive = HLA-B27 positive; antigen negative = HLA-B27 negative

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Disease characteristics of HLA-B27 positive and negative finnish patients with juvenile idiopathic arthritis - results of the 18-year cohort follow-up study. Pediatr Rheumatol Online J. Published 1 September 2023. doi:10.1186/s12969-023-00878-9

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