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  • Title: Pauciarticular juvenile rheumatoid arthritis presenting in an adult.
    Author: Cook DJ, Bensen WG, Shore A, Csordas JE.
    Journal: J Rheumatol; 1988 Dec; 15(12):1865-7. PubMed ID: 3265962.
    Abstract:
    Type I pauciarticular juvenile rheumatoid arthritis (PA-JRA) is characterized by a female predominance, chronic iridocyclitis and a positive antinuclear antibody (ANA) test. In contrast, patients with type II PA-JRA are usually male, have a negative ANA test, but are HLA-B27 positive. We report a patient with longstanding iridocyclitis who presented at age 20 with oligoarthritis, whom we believe has Type I PA-JRA. Slit lamp examination should be considered in patients with oligoarthritis; the detection of asymptomatic chronic iridocyclitis may aid in the diagnosis. Untreated, this condition may cause irreversible ocular damage.
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