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Hand Function pp 163-170 | Cite as

Hand Function in Juvenile Idiopathic Arthritis

  • Erbil ÜnsalEmail author
Chapter

Abstract

Juvenile idiopathic arthritis (JIA) is the most common chronic rheumatic disease of childhood. It is an important cause of short- and long-term disability. It includes oligoarthritis, systemic arthritis, polyarthritis, enthesitis-related arthritis, and psoriatic arthritis. Hands are mainly involved in systemic arthritis, polyarthritis, and psoriatic arthritis. There is a typical polyarticular course in about 60–80 % of untreated children. In the last 20 years, specific instruments are developed in order to measure the effects of all the related conditions of the child with arthritis, namely, health-related quality of life (HRQoL). One of the most widely used is the “core outcome variables.” They constitute of physician global assessment, patient/parent global assessment, number of joints with active arthritis, number of joints with limited range of motion, ESR as acute phase reactant, and childhood health assessment questionnaire (CHAQ). There are numerous important instruments for measuring physical function and health-related quality of life other than CHAQ. Duruöz Hand Index is a simple, reliable, and validated test in some clinical conditions in children. Recently, it is validated in JIA (unpublished data, author’s study).

Keywords

Juvenile Idiopathic Arthritis Psoriatic Arthritis Juvenile Rheumatoid Arthritis Juvenile Idiopathic Arthritis Patient Child Health Questionnaire 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Pediatric Rheumatology Division, Department of Pediatrics, Faculty of MedicineDokuz Eylül UniversityIzmirTurkey

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