Abstract
Ultrasound (US) is a powerful tool for the assessment of joint disease in children with juvenile idiopathic arthritis (JIA) and has been shown to be more accurate than clinical examination in detecting synovitis. Parent’s proxy-report of joint involvement is potentially usefulto obtain information on parent’s perception of the burden of child’s arthritis and may serve as surrogate for physician’s articular examination. However, it is unclear whether parents are reliable reporters of their children’s disease.
Highlights
Ultrasound (US) is a powerful tool for the assessment of joint disease in children with juvenile idiopathic arthritis (JIA) and has been shown to be more accurate than clinical examination in detecting synovitis
A pediatric radiologist with more 5 years of experience in US assessment in JIA evaluated independentlythe presence of synovial hypertrophy/effusion and Power Doppler (PD) inmetacarpophalangeal and interphalangeal joints, knees and ankles, and quantified each US featureon a 0-3 semi-quantitative scale
The Juvenile Arthritis Multidimensional Assessment Report (JAMAR) was completed by parents of 10 unselected patients, 8 with persistent oligoarthritis, 1 with extended oligoarthritis and 1 with rheumatoid factor-negative
Summary
Ultrasound (US) is a powerful tool for the assessment of joint disease in children with juvenile idiopathic arthritis (JIA) and has been shown to be more accurate than clinical examination in detecting synovitis. Parent’s proxy-report of joint involvement is potentially usefulto obtain information on parent’s perception of the burden of child’s arthritis and may serve as surrogate for physician’s articular examination. It is unclear whether parents are reliable reporters of their children’s disease
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