Pediatric rheumatology

How early is early for juvenile idiopathic arthritis (JIA)? Insights from the infantile-onset juvenile idiopathic arthritis patients of the PERA research group cohort

Rheumatology (Oxford)Published Retrospective cohort study

Authors' conclusion

This study suggests that patients with infantile-onset JIA exhibit distinct characteristics regarding JIA category, joint involvement and uveitis development

Study context

Population
Patients with JIA with symptom onset before age 2 (infantile-onset JIA), PERA research group cohort
Participants
199 patients
Exposure
Symptom onset ≤12 months vs >12 months
Outcome
Clinical, laboratory and outcome characteristics of infantile-onset JIA
Methodological detailsmulticentre
  • Multicentre

Main finding

As reported in the abstract

Median age at symptom onset
17 months
Median age at diagnosis
20 months
Persistent oligoarticular JIA
59.8%
Systemic JIA
13.6%
Rheumatoid factor (RF)-negative polyarticular JIA
11.6%

Observational data: associations, not effects.

Further findings

Remission at last visit

In remission with medication
59.8%
In remission without medication
18.1%

Original publication

How early is early for JIA? Insights from the infantile-onset juvenile idiopathic arthritis patients of the PERA research group cohort. Rheumatology (Oxford). Published 14 August 2025. doi:10.1093/rheumatology/keaf440

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