Pediatric rheumatology

Systemic juvenile idiopathic arthritis: Are there any predictors of disease course?

Rheumatology (Oxford)Published Retrospective cohort study

Main findingResult — go to the resultOdds ratio 12.68 95% CI 2.69–59.90

Authors' conclusion

Polyarthritis at presentation was associated with increased risk of a non-monophasic disease course in this study population.

Study context

Population
Children with systemic juvenile idiopathic arthritis (sJIA) over 18 years; median age at diagnosis 8 yearsmedian follow-up 6 years
Participants
80 children
Exposure
Clinical and laboratory features at presentation as predictors of non-monophasic vs monophasic sJIA course
  • Monophasicn = 34
  • Polycyclicn = 8
  • Persistentn = 38
Outcome
Predictors of non-monophasic (polycyclic or persistent) disease course
Methodological detailsretrospective observational, logistic regression adjusted for age, gender and year of diagnosis
  • Retrospective observational
  • Logistic regression adjusted for age, gender and year of diagnosis

Main finding

As reported in the abstract

Odds ratio

12.68

95% CI 2.69–59.90

P = 0.001

Clinical and laboratory features at presentation as predictors of non-monophasicvs monophasic sJIA course
OR 12.68 (95% CI 2.69–59.90); P = 0.001

Observational data: associations, not effects.

Further findings

Disease course distribution

Presenting features

Rash (most common presenting feature)
83.8%
Arthritis
66.3%
Macrophage activation syndrome (MAS)
18.8%

Original publication

Systemic juvenile idiopathic arthritis: Are there any predictors of disease course? Rheumatology (Oxford). Published 11 July 2026. doi:10.1093/rheumatology/keag366

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