Does Juvenile Idiopathic Arthritis Affect the Course of Legg–Calvé–Perthes Disease? A Case-Control Study with a Mean Follow-Up of 8 Years

Background: This study aimed to determine the clinical and radiological course in children who had Legg–Calvé–Perthes disease (LCPD) associated with juvenile idiopathic arthritis (JIA). Methods: In a retrospective chart review between 2007 and 2019, eight consecutive JIA patients diagnosed with conc...

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Autores principales:	Julien Roß, Ivan Foeldvari, Kara L. Krajewski, Sebastian Butscheidt, Frank Timo Beil, Ralf Stücker, Alexander S. Spiro
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	Perthes disease juvenile idiopathic arthritis pediatric orthopedics pediatric rheumatology Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/ad857630f49c4a2e8c559ac95a4003bf
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spelling	oai:doaj.org-article:ad857630f49c4a2e8c559ac95a4003bf2021-11-25T17:14:32ZDoes Juvenile Idiopathic Arthritis Affect the Course of Legg–Calvé–Perthes Disease? A Case-Control Study with a Mean Follow-Up of 8 Years10.3390/children81110142227-9067https://doaj.org/article/ad857630f49c4a2e8c559ac95a4003bf2021-11-01T00:00:00Zhttps://www.mdpi.com/2227-9067/8/11/1014https://doaj.org/toc/2227-9067Background: This study aimed to determine the clinical and radiological course in children who had Legg–Calvé–Perthes disease (LCPD) associated with juvenile idiopathic arthritis (JIA). Methods: In a retrospective chart review between 2007 and 2019, eight consecutive JIA patients diagnosed with concomitant LCPD were identified and compared with a case-control group of 10 children with LCPD only. Results: LCPD was diagnosed at a mean age of 8.1 years (3.0–14.7) in children with JIA as compared to 6.1 years (2.9–10.0) in controls. According to the modified Harris Hip Score (mHHS), four children with JIA and all controls had an excellent result. Regarding the fragmentation severity and the duration of each stage, we found no differences using the lateral pillar and modified Elizabethtown classification. Five hips were classified as Stulberg I/II, two hips as Stulberg III, and one hip as Stulberg V with no evidence of hip dysplasia or severe overcoverage in either group. Conclusions: The radiological outcome of LCPD did not differ between both groups, while the clinical outcome was slightly better in controls. Physicians should be aware that children with LCPD may have JIA too. In suspicious cases, further investigations are recommended, and patients should be referred to pediatric rheumatologists.Julien RoßIvan FoeldvariKara L. KrajewskiSebastian ButscheidtFrank Timo BeilRalf StückerAlexander S. SpiroMDPI AGarticlePerthes diseasejuvenile idiopathic arthritispediatric orthopedicspediatric rheumatologyPediatricsRJ1-570ENChildren, Vol 8, Iss 1014, p 1014 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Perthes disease juvenile idiopathic arthritis pediatric orthopedics pediatric rheumatology Pediatrics RJ1-570
spellingShingle	Perthes disease juvenile idiopathic arthritis pediatric orthopedics pediatric rheumatology Pediatrics RJ1-570 Julien Roß Ivan Foeldvari Kara L. Krajewski Sebastian Butscheidt Frank Timo Beil Ralf Stücker Alexander S. Spiro Does Juvenile Idiopathic Arthritis Affect the Course of Legg–Calvé–Perthes Disease? A Case-Control Study with a Mean Follow-Up of 8 Years
description	Background: This study aimed to determine the clinical and radiological course in children who had Legg–Calvé–Perthes disease (LCPD) associated with juvenile idiopathic arthritis (JIA). Methods: In a retrospective chart review between 2007 and 2019, eight consecutive JIA patients diagnosed with concomitant LCPD were identified and compared with a case-control group of 10 children with LCPD only. Results: LCPD was diagnosed at a mean age of 8.1 years (3.0–14.7) in children with JIA as compared to 6.1 years (2.9–10.0) in controls. According to the modified Harris Hip Score (mHHS), four children with JIA and all controls had an excellent result. Regarding the fragmentation severity and the duration of each stage, we found no differences using the lateral pillar and modified Elizabethtown classification. Five hips were classified as Stulberg I/II, two hips as Stulberg III, and one hip as Stulberg V with no evidence of hip dysplasia or severe overcoverage in either group. Conclusions: The radiological outcome of LCPD did not differ between both groups, while the clinical outcome was slightly better in controls. Physicians should be aware that children with LCPD may have JIA too. In suspicious cases, further investigations are recommended, and patients should be referred to pediatric rheumatologists.
format	article
author	Julien Roß Ivan Foeldvari Kara L. Krajewski Sebastian Butscheidt Frank Timo Beil Ralf Stücker Alexander S. Spiro
author_facet	Julien Roß Ivan Foeldvari Kara L. Krajewski Sebastian Butscheidt Frank Timo Beil Ralf Stücker Alexander S. Spiro
author_sort	Julien Roß
title	Does Juvenile Idiopathic Arthritis Affect the Course of Legg–Calvé–Perthes Disease? A Case-Control Study with a Mean Follow-Up of 8 Years
title_short	Does Juvenile Idiopathic Arthritis Affect the Course of Legg–Calvé–Perthes Disease? A Case-Control Study with a Mean Follow-Up of 8 Years
title_full	Does Juvenile Idiopathic Arthritis Affect the Course of Legg–Calvé–Perthes Disease? A Case-Control Study with a Mean Follow-Up of 8 Years
title_fullStr	Does Juvenile Idiopathic Arthritis Affect the Course of Legg–Calvé–Perthes Disease? A Case-Control Study with a Mean Follow-Up of 8 Years
title_full_unstemmed	Does Juvenile Idiopathic Arthritis Affect the Course of Legg–Calvé–Perthes Disease? A Case-Control Study with a Mean Follow-Up of 8 Years
title_sort	does juvenile idiopathic arthritis affect the course of legg–calvé–perthes disease? a case-control study with a mean follow-up of 8 years
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/ad857630f49c4a2e8c559ac95a4003bf
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Does Juvenile Idiopathic Arthritis Affect the Course of Legg–Calvé–Perthes Disease? A Case-Control Study with a Mean Follow-Up of 8 Years

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