Juvenile-Versus Adult-Onset Spondyloarthritis: Similar, but Different

Pamela F Weiss; Johannes Roth

doi:10.1016/j.rdc.2020.01.003

Juvenile-Versus Adult-Onset Spondyloarthritis: Similar, but Different

Rheum Dis Clin North Am. 2020 May;46(2):241-257. doi: 10.1016/j.rdc.2020.01.003.

Authors

Pamela F Weiss¹, Johannes Roth²

Affiliations

¹ Perelman School of Medicine UPENN, Philadelphia, PA, USA; Division of Rheumatology, Children's Hospital of Philadelphia, Philadelphia, PA, USA. Electronic address: weisspa@email.chop.edu.
² Division of Pediatric Dermatology and Rheumatology, Children's Hospital of Eastern Ontario, University of Ottawa, 401 Smyth Road, Ottawa, Ontario K1H8L1, Canada.

PMID: 32340699
DOI: 10.1016/j.rdc.2020.01.003

Abstract

This article provides an overview of juvenile spondyloarthritis and important differences in the classification criteria, clinical presentation, outcomes, and pathology in juvenile versus adult-onset disease. Key differences in classification criteria between children and adults with spondyloarthritis are important to understand, as they can make transition from pediatric to adult care challenging. MRI and ultrasonography are increasingly relied on for the assessment of adult-onset disease activity and change over time in the pediatric population. The unique features of the maturing axial and peripheral skeleton are described for each modality, as they are key to understand for accurate interpretation of pathology in the pediatric population.

Keywords: Enthesitis-related arthritis; Imaging; Juvenile spondyloarthritis; MRI; Psoriatic arthritis; Ultrasonography.

Publication types

Comparative Study
Review

MeSH terms

Adolescent
Adult
Arthritis, Juvenile / classification
Arthritis, Juvenile / diagnosis
Child
Humans
Spondylarthritis* / classification
Spondylarthritis* / diagnosis
Transition to Adult Care