Clinico-epidemiological Profile of Pediatric Rheumatology Disorders in Eastern India

Pratap Kumar Patra1, Manish Kumar1

  • 1Department of Pediatrics, All India Institute of Medical Sciences, Patna, Bihar, India.

Insights

Pediatric rheumatological disorders in India are distinct from Western populations, with Juvenile Idiopathic Arthritis (JIA) being most common. Limited access to biological agents impacts treatment, highlighting a need for further investigation.

Area of Science:

  • Pediatric Rheumatology
  • Epidemiology
  • Clinical Medicine

Background:

  • Limited data exists on pediatric rheumatological disorders in India.
  • Understanding these conditions is crucial for developing evidence-based healthcare services.

Purpose of the Study:

  • To investigate the clinical and epidemiological profile of rheumatological disorders in children in India.
  • To identify common diagnoses, treatment patterns, and challenges in managing these conditions.

Main Methods:

  • A retrospective hospital-based study was conducted.
  • Data from January 2015 to December 2016 was analyzed.
  • Included clinical, laboratory findings, and treatment responses of 60 children.

Main Results:

  • Juvenile Idiopathic Arthritis (JIA) was the most frequent diagnosis, with polyarticular JIA being the predominant subtype.
  • The mean age of onset was 9.1 years; Methotrexate was the most common disease-modifying antirheumatic drug.
  • Financial constraints prevented the use of biological agents; 10% used alternative medicine.

Conclusions:

  • The clinical and epidemiological profile of pediatric rheumatological disorders in this Indian cohort differs from Western populations.
  • The lack of access to biological agents for Juvenile Idiopathic Arthritis (JIA) management warrants further consideration.
Abstract

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