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Table 1 Baseline clinical characteristics of Juvenile Idiopathic Arthritis (JIA) patients enrolled in PAFLAR registry from 15TH April 2000–5th December 2023

From: Development of the paediatric society of the African league against rheumatism (PAFLAR) JIA registry and clinical profile of JIA in Africa from the PAFLAR JIA registry

Characteristic

Overall, N = 3021

Country

Egypt, N = 222

Kenya, N = 562

Libya, N = 1512

Nigeria, N = 72

Tunisia, N = 662

Gender, n (%)

      

 Female

177 (58.6)

15 (68.2)

32 (57.1)

95 (62.9)

3 (42.9)

32 (48.5)

Ethnicity, n (%)

      

 Arab African

233 (77.9)

21 (100.0)

0 (0.0)

147 (98.7)

0 (0.0)

65 (98.5)

 White

4 (1.3)

0 (0.0)

4 (7.1)

0 (0.0)

0 (0.0)

0 (0.0)

 Black African

61 (20.4)

0 (0.0)

52 (92.9)

1 (0.7)

7 (100.0)

1 (1.5)

 Mixed Race

1 (0.3)

0 (0.0)

0 (0.0)

1 (0.7)

0 (0.0)

0 (0.0)

Age in years, Median (IQR)

14.0 (9.0–18.0)

9.5 (7.2–12.8)

12.0 (9.0–14.0)

16.0 (11.0–19.0)

15.0 (10.0–17.0)

13.0 (10.0–17.0)

Age at onset (years), Median (IQR)

7.0 (3.0–11.0)

5.0 (4.0–7.0)

7.5 (4.0–11.0)

6.0 (3.0–10.0)

10.0 (6.5–11.5)

9.0 (5.0–12.0)

Age at diagnosis (years), Median (IQR)

8.5 (5.0–12.0)

5.0 (4.0–7.0)

9.0 (6.0–12.5)

8.0 (5.0–11.0)

12.0 (9.5–16.0)

10.0 (6.0–14.0)

Time to diagnosis (Months), Median (IQR)

6.0 (1.0–20.8)

0.5 (0.0–3.8)

11.0 (1.3–33.5)

6.0 (1.0–15.8)

21.0 (9.0–30.0)

9.0 (1.0–30.0)

JIA Categories, n (%)

Oligoarthritis

58 (19.2)

6 (27.3)

2 (3.6)

31 (20.5)

1 (14.3)

18 (27.3)

 Oligo-persistent arthritis

22 (7.3)

1 (4.5)

10 (17.9)

10 (6.6)

0 (0.0)

1 (1.5)

 Oligo-extended arthritis

6 (2.0)

0 (0.0)

0 (0.0)

5 (3.3)

0 (0.0)

1 (1.5)

Polyarthritis RF-

54 (17.9)

0 (0.0)

11 (19.6)

34 (22.5)

3 (42.9)

6 (9.1)

Enthesitis-related arthritis

55 (18.2)

0 (0.0)

8 (14.3)

20 (13.2)

0 (0.0)

27 (40.9)

Psoriatic arthritis

21 (7.0)

1 (4.5)

0 (0.0)

16 (10.6)

0 (0.0)

4 (6.1)

Systemic onset arthritis

57 (18.9)

14 (63.6)

11 (19.6)

26 (17.2)

2 (28.6)

4 (6.1)

Polyarthritis RF+

15 (5.0)

0 (0.0)

6 (10.7)

6 (4.0)

1 (14.3)

2 (3.0)

Undifferentiated

17 (5.6)

0 (0.0)

8 (14.3)

5 (3.3)

0 (0.0)

4 (6.1)

Clinical Features, n (%)

 Fever

85 (28.1)

14 (63.6)

23 (41.1)

36 (23.8)

2 (28.6)

10 (15.2)

 Hepatomegaly

11 (3.6)

4 (18.2)

3 (5.4)

3 (2.0)

1 (14.3)

0 (0.0)

 Rash

47 (15.6)

8 (36.4)

6 (10.7)

30 (19.9)

0 (0.0)

3 (4.5)

 Splenomegaly

5 (1.7)

3 (13.6)

0 (0.0)

1 (0.7)

0 (0.0)

1 (1.5)

 Anemia

29 (9.6)

9 (40.9)

2 (3.6)

8 (5.3)

1 (14.3)

9 (13.6)

 Lymphadenopathy

24 (7.9)

7 (31.8)

3 (5.4)

11 (7.3)

1 (14.3)

2 (3.0)

 Serositis

5 (1.7)

5 (22.7)

0 (0.0)

0 (0.0)

0 (0.0)

0 (0.0)

 Psoriasis

5 (1.7)

1 (4.5)

0 (0.0)

1 (0.7)

0 (0.0)

3 (4.5)

 Nail pits

2 (0.7)

0 (0.0)

0 (0.0)

2 (1.3)

0 (0.0)

0 (0.0)

 Other

22 (7.3)

0 (0.0)

10 (17.9)

11 (7.3)

0 (0.0)

1 (1.5)

Physical exam findings, n (%)

      

 Tender joint

241 (80.9)

22 (100.0)

39 (70.9)

118 (79.2)

7 (100.0)

55 (84.6)

 Swollen joint

204 (68.7)

21 (95.5)

31 (56.4)

111 (74.5)

6 (85.7)

35 (54.7)

 Enthesitis

35 (13.1)

1 (6.2)

1 (2.3)

19 (13.3)

0 (0.0)

14 (24.1)

 Joint with limited range of motion

174 (58.4)

8 (36.4)

33 (60.0)

101 (67.8)

6 (85.7)

26 (40.0)

 Dactylitis

9 (4.4)

1 (7.1)

2 (25.0)

3 (2.8)

3 (42.9)

0 (0.0)

 Uveitis

      

  Acute

4 (6.5)

0 (0.0)

2 (66.7)

1 (6.7)

0 (0.0)

1 (2.6)

  Chronic

15 (24.2)

1 (33.3)

1 (33.3)

9 (60.0)

0 (0.0)

4 (10.5)

 None

43 (69.4)

2 (66.7)

0 (0.0)

5 (33.3)

3 (100.0)

33 (86.8)

Baseline Investigations

ESR (n = 246), Median (IQR)

35.0 (15.0–60.0)

40.0 (30.0–60.0)

35.0 (20.0–64.0)

35.0 (14.0–59.0)

99.0 (41.5–122.0)

25.0 (13.0–54.8)

CRP (n = 169), Median (IQR)

13.0 (3.0–52.4)

12.0 (10.0–24.0)

22.0 (8.1–76.0)

15.5 (2.0–62.0)

232.2 (200.0–272.4)

5.9 (2.8–38.3)

Hb levels (n = 257), Median (IQR)

11.2 (10.0–12.3)

9.8 (9.0–10.3)

10.4 (9.5–12.4)

11.2 (10.0–12.3)

9.7 (8.2–10.8)

12.0 (11.0–12.6)

Serology ANA, n (%)

 

Present

66 (22.4)

6 (27.3)

10 (19.2)

36 (24.0)

1 (14.3)

13 (20.3)

Absent

171 (58.0)

16 (72.7)

13 (25.0)

94 (62.7)

6 (85.7)

42 (65.6)

Not done

58 (19.7)

0 (0.0)

29 (55.8)

20 (13.3)

0 (0.0)

9 (14.1)

Serology RF, n (%)

 

Present

23 (8.0)

0 (0.0)

4 (8.2)

13 (8.7)

1 (14.3)

5 (8.2)

Absent

195 (67.7)

22 (100.0)

15 (30.6)

112 (75.2)

5 (71.4)

41 (67.2)

Not done

70 (24.3)

0 (0.0)

30 (61.2)

24 (16.1)

1 (14.3)

15 (24.6)

Serology HLA B27, n (%)

 

Present

14 (5.1)

0 (0.0)

2 (5.6)

8 (5.3)

0 (0.0)

4 (6.7)

Absent

103 (37.9)

10 (52.6)

2 (5.6)

63 (42.0)

2 (28.6)

26 (43.3)

Not done

155 (57.0)

9 (47.4)

32 (88.9)

79 (52.7)

5 (71.4)

30 (50.0)

Serology anti CCP, n (%)

 

Present

11 (4.2)

0 (0.0)

3 (7.3)

6 (4.0)

1 (14.3)

1 (1.8)

Absent

72 (27.2)

6 (50.0)

5 (12.2)

26 (17.3)

2 (28.6)

33 (60.0)

Not Done

182 (68.7)

6 (50.0)

33 (80.5)

118 (78.7)

4 (57.1)

21 (38.2)

CHAQ (n = 28), Median (IQR)

1.3 (0.7–2.0)

1.3 (1.0–1.7)

6.0 (6.0–6.0)

NA (NA – NA)

NA (NA – NA)

0.2 (0.0–2.5)

JADAS 10 score (n = 105), Median (IQR)

10.3 (4.8–18.2)

13.0 (8.9–19.5)

26.0 (17.8–31.0)

3.0 (3.0–3.2)

6.0 (5.5–8.5)

10.2 (5.0–16.0)

Medication at Diagnosis

      

bDMARD + NSAID

3 (1.7)

0 (0.0)

1 (4.0)

0 (0.0)

0 (0.0)

2 (3.5)

csDMARD only

32 (18.1)

10 (58.8)

4 (16.0)

12 (16.4)

0 (0.0)

6 (10.5)

csDMARD + bDMARD

5 (2.8)

2 (11.8)

1 (4.0)

1 (1.4)

0 (0.0)

1 (1.8)

csDMARD + bDMARD + NSAID

2 (1.1)

0 (0.0)

0 (0.0)

0 (0.0)

0 (0.0)

2 (3.5)

csDMARD + bDMARD + Steroid

4 (2.3)

1 (5.9)

0 (0.0)

0 (0.0)

0 (0.0)

3 (5.3)

csDMARD + NSAID

31 (17.5)

0 (0.0)

4 (16.0)

8 (11.0)

0 (0.0)

19 (33.3)

csDMARD + Steroid

9 (5.1)

3 (17.6)

3 (12.0)

2 (2.7)

0 (0.0)

1 (1.8)

csDMARD + Steroid + NSAID

9 (5.1)

0 (0.0)

0 (0.0)

9 (12.3)

0 (0.0)

0 (0.0)

NSAID only

55 (31.1)

0 (0.0)

6 (24.0)

29 (39.7)

0 (0.0)

20 (35.1)

Steroid only

17 (9.6)

0 (0.0)

4 (16.0)

8 (11.0)

5 (100.0)

0 (0.0)

Steroid + NSAID

6 (3.4)

0 (0.0)

1 (4.0)

4 (5.5)

0 (0.0)

1 (1.8)

  1. 1n (%); Median (IQR)
  2. 2Frequency (%)
  3. ESR-Erythrocyte sedimentation rate
  4. CRP-C reactive protein
  5. Hb-Haemoglobin
  6. ANA-Antinuclear Antibody
  7. RF-Rheumatoid Factor
  8. HLA B27-Human Leucocyte Antigen B27
  9. Anti CCP-anti cyclic citrullinated peptide
  10. csDMARD-Synthetic Disease Modifying Anti-Rheumatic Drug
  11. bDMARD-Biologic Disease Modifying Anti-Rheumatic Drug
  12. NSAID-Non-Steroidal Anti-Inflammatory Drug
  13. NA – Missing data
  14. Observation of ‘other’ clinical features
  15. Libya:
  16. 1. Abdominal pain
  17. 2. Bloody diarrhea
  18. 3. Chronic abdominal pain with oral ulcer
  19. 4. Morning stiffness with abdominal pain and weight loss
  20. 5. Cushioned face due to oral steroid use
  21. 6. Fatigue
  22. 7. Weight loss
  23. 8. Headache
  24. 9. Mouth Ulcers
  25. 10. Scaly rash, bone pain, vitiligo
  26. 11. Raynauds’s phenomenon
  27. Kenya:
  28. 1. Pyelitis with bloody diarrhea
  29. 2. Septic Arthritis
  30. 3. Withdrawn behavior suggesting depression
  31. 4. Recent upper respiratory tract infection
  32. 5. A week prior to onset had URTI and reported to have fallen in a bath
  33. 6. Hypopigmented rash with poor appetite
  34. 7. Loss of weight and appetite x2
  35. 8. Lethargy