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[(regard to this study)64.9 (. Each radiologist reviewed all of the)]TJ
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(radiographs in one session with no additional clinical input.)Tj
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(The variation in their interpretations points to the need for a)Tj
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(radiographs in children with polyJRA.)Tj
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[(W)79.8 (e also compared the Poznanski technique assessing)]TJ
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[(RCL)-254.9 (to variables used to assess damage in adults with RA)]TJ
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[(in children with newly diagnosed polyJRA. )17.7 (There was no)]TJ
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(statistically significant correlation between the 2 techniques,)Tj
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(but significant abnormalities in both techniques were)Tj
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(observed in the same radiographs of several subjects.)Tj
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(assessments, such as the findings of erosions, correlate with)Tj
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(poorer clinical outcomes \(and if so, to what degree\) in these)Tj
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(children. Findings from that study could result in the devel-)Tj
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(opment of a scoring system for hand/wrist radiographs)Tj
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(similar to those used for RA.)Tj
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(In our review of hand/wrist radiographs from 18 cases of)Tj
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[(of diagnosis by a panel of 3 radiologists. )54.9 (Almost 45% had)]TJ
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(periarticular osteopenia, 17% had JSN, and 17% had at least)Tj
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[(one erosion. One-third of this cohort had RCL)-191 (> 2 SD below)]TJ
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[(the mean for age. )17.8 (These data suggest that radiographic)]TJ
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[(abnormalities in polyJRA)-263.7 (are common, even at the time of)]TJ
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(diagnosis.)Tj
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(ACKNOWLEDGMENT)Tj
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[(W)79.8 (e thank Laurie Metag for her outstanding secretarial assistance.)]TJ
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(REFERENCES)Tj
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[(1.)-875.1 (Peterson LS, Mason )17.7 (T)73.9 (, Nelson )54.8 (AM, O\222Fallon )17.7 (WM, Gabriel SE.)]TJ
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[(Juvenile rheumatoid arthritis in Rochester)39.8 (, Minnesota, 1960-1993.)]TJ
0 -1.25 TD
[(Is the epidemiology changing? )54.9 (Arthritis Rheum 1996;39:1385-90.)]TJ
-1.675 -1.25 Td
[(2.)-875 (Cassidy JT)74 (, Petty RE. )17.7 (T)69.8 (extbook of pediatric rheumatology)64.9 (, 2nd ed.)]TJ
1.675 -1.25 Td
[(New )36.9 (Y)100.1 (ork: Churchill Livingstone; 1990:1)36.9 (13-219.)]TJ
-0.00011 Tc -1.675 -1.25 Td
[(3.)-875.1 (Brewer EJ, Bass J, Baum J, et al. Current proposed revision of JRA)]TJ
0 Tc 1.675 -1.25 Td
[(criteria. )54.9 (Arthritis Rheum 1977;20:195-9.)]TJ
-1.675 -1.25 Td
[(4.)-875 (Buchbinder R, Bombardier C, )36.8 (Y)100.1 (eung M, )17.7 (T)34.9 (ugwell P)110.8 (. )17.7 (Which outcome)]TJ
1.675 -1.25 Td
[(should be used in rheumatoid arthritis clinical trials? )54.9 (Arthritis)]TJ
T*
(Rheum 1995;38:1568-80.)Tj
-1.675 -1.25 Td
[(5.)-875 (van der Heijde DMFM, van Leeuwen MA, van Riel PLCM, et al.)]TJ
1.675 -1.25 Td
(Biannual radiographic assessments of hands and feet in a three-year)Tj
T*
(prospective follow-up of patients with early rheumatoid arthritis.)Tj
T*
(Arthritis Rheum 1992;35:26-34.)Tj
-0.00011 Tc -1.675 -1.25 Td
[(6.)-875.1 (V)111 (an der Heide )54.8 (A, Remme CA, Hofman DM, Jacobs JWG, Bijlsma)]TJ
0 Tc 1.675 -1.25 Td
(JWJ. Prediction of progression of radiologic damage in newly )Tj
T*
[(diagnosed rheumatoid arthritis. )54.9 (Arthritis Rheum 1995;38:1466-74.)]TJ
-0.00011 Tc -1.675 -1.25 Td
[(7.)-875.1 (Poznanski )54.8 (AK, Conway JJ, Shkolnik )54.8 (A, Pachman, LM.)]TJ
0 Tc 1.675 -1.25 Td
(Radiological approaches in the evaluation of joint disease in )Tj
T*
(children. Rheum Dis Clin 1987;13:57-73.)Tj
-1.675 -1.25 Td
[(8.)-875 (Resnick D, Niwayama G. Rheumatoid arthritis. In: Resnick D,)]TJ
1.675 -1.25 Td
[(editor)54.9 (. Diagnosis of bone and joint disorders. 3rd ed. Philadelphia:)]TJ
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(WB Saunders; 1995:866-970.)Tj
-0.00011 Tc -1.675 -1.25 Td
[(9.)-875.1 (Paget SA. )17.7 (T)34.8 (r)-0.1 (eatment of rheumatoid arthritis. In: Klippel JH,)]TJ
0 Tc 1.675 -1.25 Td
[(W)79.8 (eyand CW)91.8 (, )17.8 (W)79.8 (ortman RL, editors. Primer on the rheumatic)]TJ
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[(diseases. 1)36.9 (1th ed. )54.8 (Atlanta: )54.8 (Arthritis Foundation; 1997:168-74.)]TJ
-2.175 -1.25 Td
[(10.)-875 (Combe B, Dougados M, Goupille P)110.8 (,)0.1 ( et al. Prognostic factors for)]TJ
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[(radiographic damage in early rheumatoid arthritis. )54.8 (Arthritis Rheum)]TJ
0 Tw T*
(2001;44:1736-43.)Tj
0.0249 Tw -2.1381 -1.25 Td
[(1)36.9 (1.)-875 (Fuchs HA, Ser)17.8 (gent JS. Rheumatoid arthritis: the clinical picture. In:)]TJ
2.1381 -1.25 Td
[(Koopman )17.7 (WJ, editor)54.9 (. )54.8 (Arthritis and allied conditions., 13th ed.)]TJ
0.0072 Tw T*
[(Philadelphia: W)39.8 (illiams )-17.8 (& W)39.8 (ilkins; )-17.8 (1997:1041-70.)]TJ
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[(12.)-875.1 (Hulsmans HMJ, Jacobs JWG, van der Heijde DMFM, )]TJ
2.175 -1.25 Td
[(van )54.8 (Albada-Kuipers GA, Schenk )36.8 (Y)129 (, Bijlsma JWJ. )17.7 (The course of)]TJ
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(radiologic damage during the first six years of rheumatoid arthritis.)Tj
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(Arthritis Rheum 2000;43:1927-40.)Tj
-2.175 -1.25 Td
[(13.)-875 (Cassidy JT)74 (, Martel )17.7 (W)91.8 (. Juvenile rheumatoid arthritis: )]TJ
2.175 -1.25 Td
[(clinicoradiologic correlations. )54.9 (Arthritis Rheum 1977:20 Suppl:)]TJ
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[(207-1)36.8 (1.)]TJ
0 Tc 0.0249 Tw -2.175 -1.25 Td
[(14.)-875 (Ansell BM, Kent P)91.8 (A. Radiological changes in juvenile chronic)]TJ
2.175 -1.25 Td
(polyarthritis. Skeletal Radiol 1977;1:129-44.)Tj
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[(15.)-875 (W)39.8 (illiams RA, )54.9 (Ansell BM. Radiological findings in seropositive)]TJ
2.175 -1.25 Td
(juvenile chronic arthritis \(juvenile rheumatoid arthritis\) with )Tj
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[(particular reference to progression. )54.8 (Ann Rheum Dis 1985;)]TJ
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(44:685-93.)Tj
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[(16.)-875 (Lang BA, Schneider R, Reilly BJ, Silverman ED, Laxer RM.)]TJ
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(Radiologic features of systemic onset juvenile rheumatoid arthritis.)Tj
T*
(J Rheumatol 1995;22:168-73.)Tj
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[(17.)-875 (Schneider R, Land BA, Reilly BJ, et al. Prognostic indicators of)]TJ
2.175 -1.25 Td
(joint destruction in systemic-onset juvenile rheumatoid arthritis. )Tj
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(J Pediatr 1992;120:200-5.)Tj
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