Pediatric rheumatology

Infant-onset juvenile idiopathic arthritis: a multicentre retrospective study

Rheumatology (Oxford)Published Retrospective cohort study

Authors' conclusion

Very early-onset JIA is often diagnosed late, delaying appropriate care.

Study context

Population
Infants with juvenile idiopathic arthritis (JIA) in the German National Pediatric Rheumatology Database (NPRD), 2011–2020, 18 pediatric rheumatology centres in Germany; disease onset at 9.5 ± 2.64 months; 62% femaleinfant-onset JIA
Participants
90 infants
Exposure
Infant-onset JIA vs matched toddler-onset JIA
  • Infant-onset JIAn = 90
Outcome
Time from symptom onset to first rheumatology consultation
Methodological detailsmulticentre, matched comparison cohort, German National Pediatric Rheumatology Database (NPRD), prospective follow-up supplemented retrospectively
  • Multicentre
  • Matched comparison cohort
  • German National Pediatric Rheumatology Database (NPRD), prospective follow-up supplemented retrospectively

Main finding

As reported in the abstract

Significantly longer in infants than toddlers (infants vs toddlers)

3.1 vs 2.3 months

P = 0.025

Observational data: associations, not effects.

Further findings

DMARDs prescribed · follow-up

OutcomeInfant-onset JIAToddler-onset JIAP value
Disease activity (cJADAS10) · follow-upSignificantly higher in infants3.02.1P = 0.034

Systemic JIA

Infants more frequently affected by systemic JIA than toddlers

Disease activity · enrolment

Similar disease activity in both groups at enrolment

Original publication

Infant-onset juvenile idiopathic arthritis: a multicentre retrospective study. Rheumatology (Oxford). Published 4 November 2025. doi:10.1093/rheumatology/keaf586

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