Subpopulations Within Juvenile Psoriatic Arthritis: A Review of the Literature

The presentation of juvenile psoriatic arthritis (JPsA) has long been recognized to be clinically heterogeneous. As the definition of JPsA expanded to accommodate atypical manifestations of psoriasis in young children, studies began to reflect an increasingly clear biphasic distribution of age of on...

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Main Authors: Matthew L. Stoll, Peter A. Nigrovic
Format: Article
Language:English
Published: Wiley 2006-01-01
Series:Clinical and Developmental Immunology
Online Access:http://dx.doi.org/10.1080/17402520600877802
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author Matthew L. Stoll
Peter A. Nigrovic
author_facet Matthew L. Stoll
Peter A. Nigrovic
author_sort Matthew L. Stoll
collection DOAJ
description The presentation of juvenile psoriatic arthritis (JPsA) has long been recognized to be clinically heterogeneous. As the definition of JPsA expanded to accommodate atypical manifestations of psoriasis in young children, studies began to reflect an increasingly clear biphasic distribution of age of onset, with peaks in the first few years of life and again in early adolescence. These two subpopulations differ in gender ratio, pattern of joint involvement, laboratory findings and potentially response to therapy. Intriguingly, a similar distribution of age of onset has been observed in juvenile rheumatoid arthritis (JRA), and correlates with patterns of HLA association. While a secure classification of subpopulations within JPsA awaits improved pathophysiologic understanding, future research must consider the possibility that different disease mechanisms may be operative in distinct subsets of patients with this disorder.
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spelling doaj-art-0cfb589b41594adfb96f8a8a2fb5e68c2025-08-20T03:54:15ZengWileyClinical and Developmental Immunology1740-25221740-25302006-01-01132-437738010.1080/17402520600877802Subpopulations Within Juvenile Psoriatic Arthritis: A Review of the LiteratureMatthew L. Stoll0Peter A. Nigrovic1Division of Immunology, Program in Rheumatology, Children's Hospital Boston, Boston, MA, USADivision of Immunology, Program in Rheumatology, Children's Hospital Boston, Boston, MA, USAThe presentation of juvenile psoriatic arthritis (JPsA) has long been recognized to be clinically heterogeneous. As the definition of JPsA expanded to accommodate atypical manifestations of psoriasis in young children, studies began to reflect an increasingly clear biphasic distribution of age of onset, with peaks in the first few years of life and again in early adolescence. These two subpopulations differ in gender ratio, pattern of joint involvement, laboratory findings and potentially response to therapy. Intriguingly, a similar distribution of age of onset has been observed in juvenile rheumatoid arthritis (JRA), and correlates with patterns of HLA association. While a secure classification of subpopulations within JPsA awaits improved pathophysiologic understanding, future research must consider the possibility that different disease mechanisms may be operative in distinct subsets of patients with this disorder.http://dx.doi.org/10.1080/17402520600877802
spellingShingle Matthew L. Stoll
Peter A. Nigrovic
Subpopulations Within Juvenile Psoriatic Arthritis: A Review of the Literature
Clinical and Developmental Immunology
title Subpopulations Within Juvenile Psoriatic Arthritis: A Review of the Literature
title_full Subpopulations Within Juvenile Psoriatic Arthritis: A Review of the Literature
title_fullStr Subpopulations Within Juvenile Psoriatic Arthritis: A Review of the Literature
title_full_unstemmed Subpopulations Within Juvenile Psoriatic Arthritis: A Review of the Literature
title_short Subpopulations Within Juvenile Psoriatic Arthritis: A Review of the Literature
title_sort subpopulations within juvenile psoriatic arthritis a review of the literature
url http://dx.doi.org/10.1080/17402520600877802
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