Characteristic | Overall, N = 3021 | Country | ||||
---|---|---|---|---|---|---|
Egypt, N = 222 | Kenya, N = 562 | Libya, N = 1512 | Nigeria, N = 72 | Tunisia, N = 662 | ||
Gender, n (%) | Â | Â | Â | Â | Â | Â |
 Female | 177 (58.6) | 15 (68.2) | 32 (57.1) | 95 (62.9) | 3 (42.9) | 32 (48.5) |
Ethnicity, n (%) | Â | Â | Â | Â | Â | Â |
 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 (%) | Â | Â | Â | Â | Â | Â |
 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 (%) | Â | |||||
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 (%) | Â | |||||
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 (%) | Â | |||||
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 (%) | Â | |||||
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 | Â | Â | Â | Â | Â | Â |
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) |