Distribution of Juvenile Idiophatic Arthritis Subtypes in Bandung

Juvenile idiopathic arthritis (JIA) is the most common chronic rheumatic disease in children which begin before 16 years of age. The objective of this study was to evaluate the profile of patients who diagnosed as JIA. The descriptive retrospective study was done to patients with JIA who came to Allergy Immunology Division, Department of Child Health Dr. Hasan Sadikin Hospital Bandung during January 2006-October 2011 period, based on the medical records. There were 28 patients with JIA consisted of 10 boys and 18 girls, age ranged 2-14 years, with mean age of onset of 8.25 +/- 3.62 years. There were 14 patients with persistent oligoarthritis type, 6 patients with systemic type, 5 patients with polyarthritis type and 1 patient with polyarthritis adult type. The laboratory data showed 2 patients with positive rheumatoid factor and 14 patients were negative. Non-steroidal anti-inflammatory drugs as standard protocol therapy, steroids and disease modifying anti-rheumatic drugs (methotrexate) were used for treatment. There were 3 patients with systemic type death. In conclusions, most of JIA cases were persistent oligoathritis type, girls more than boys, and all death. In conclusions, most of JIA cases were persistent oligoathritis type, girls more than boys, and all death cases were systemic JIA. Most of cases had satisfactory therapeutic outcomes with standard protocol therapy.