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Research ArticlePediatric Rheumatology

Pattern of Disease Onset, Diagnostic Delay, and Clinical Features in Juvenile Onset and Adult Onset Ankylosing Spondylitis

SALIH OZGOCMEN, OZGE ARDICOGLU, AYHAN KAMANLI, ARZU KAYA, BEKIR DURMUS, KADIR YILDIRIM, OZLEM BAYSAL, ALI GUR, SALIHA KARATAY, ZUHAL ALTAY, REMZI CEVIK, AKIN ERDAL, YUKSEL ERSOY, AYSEGUL J. SARAC, IBRAHIM TEKEOGLU, MAHIR UGUR, KEMAL NAS, KAZIM SENEL and HASAN ULUSOY
The Journal of Rheumatology December 2009, 36 (12) 2830-2833; DOI: https://doi.org/10.3899/jrheum.090435
SALIH OZGOCMEN
From the Division of Rheumatology, Department of Physical Medicine and Rehabilitation, Gevher Nesibe Hospital, Erciyes University, School of Medicine, Kayseri; Division of Rheumatology, Department of Physical Medicine and Rehabilitation, Firat University Hospital, Firat University, Faculty of Medicine, Elazig; Department of Physical Medicine and Rehabilitation, Inonu University, Faculty of Medicine, Malatya; Department of Physical Medicine and Rehabilitation, Ataturk University, Faculty of Medicine, Erzurum; Department of Physical Medicine and Rehabilitation, Dicle University, Faculty of Medicine, Diyarbakir; and Division of Rheumatology, Department of Physical Medicine and Rehabilitation, Yuzuncuyil University, Faculty of Medicine, Van, Turkey.
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  • For correspondence: sozgocmen{at}hotmail.com
OZGE ARDICOGLU
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AYHAN KAMANLI
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ARZU KAYA
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BEKIR DURMUS
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KADIR YILDIRIM
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OZLEM BAYSAL
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ALI GUR
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SALIHA KARATAY
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ZUHAL ALTAY
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REMZI CEVIK
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AKIN ERDAL
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YUKSEL ERSOY
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AYSEGUL J. SARAC
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IBRAHIM TEKEOGLU
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MAHIR UGUR
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KEMAL NAS
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KAZIM SENEL
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HASAN ULUSOY
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Article Figures & Data

Tables

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    Table 1.

    Characteristics of patients with adult onset AS (AOAS) (n = 279) and juvenile onset AS (JOAS) (n = 43).

    CharacteristicAOASJOAS
    MeanSDMedianMeanSDMedian
    Current age, yrs†36.1110.203529.338.0128
    Height, cm169.508.60170170.809.10172
    Weight, kg71.8014.207067.2012.2066
    Age at symptom onset, yrs †25.637.492412.672.9013
    Age at diagnosis, yrs†30.709.422921.795.2222
    Delay in diagnosis, yrs†5.085.9939.215.419
    Disease duration, yrs†10.498.16816.817.8815
    Mean BASDAI††4.062.443.94.062.534.0
    BASDAI-fatigue††5.233.4255.362.946
    BASDAI-enthesitis††3.613.412.54.063.683
    ASQOL††9.416.04109.825.5312
    BASFI††38.7328.7337.240.5728.4341.1
    Gender, M/F226/5339/4
    BASFI > 50, %††37.138.1
    Marital status, %
      Married69.354.8
      Single25.640.4
      Divorced/widow4.02.4
      Living with partner1.12.4
    Smoking, %
      Never/ex-smoker48.751.2
      Smoker51.348.8
    Education, %
      High school or less69.969.8
      University or more30.130.2
    Positive family history for SpA, %††26.731.6
    Positive family history for AS, %††20.726.3
    Positive history for psoriasis, %††6.22.4
    Positive history for urethritis, %††11.27.9
    Positive history for inflammatory bowel disease, %††4.07.9
    Current arthritis, %*26.241.5
    Uveitis/positive history for uveitis, %**10.923.3
    Only peripheral pattern at disease onset, %***15.132.6
    • ↵† p < 0.001, t test, JOAS vs AOAS.

    • ↵†† No significant odds ratio even after adjustment for current age or disease duration.

    • ↵* Unadjusted odds ratio 1.99 (95% CI 1.01–3.93).

    • ↵** Age adjusted odds ratio 2.92 (95% CI 1.25–6.79).

    • ↵*** Age adjusted odds ratio 3.25 (95% CI 1.51–6.98), disease duration adjusted odds ratio 2.26 (95% CI 1.07–4.76). BASDAI: Bath AS Disease Activity Index; BASFI: Bath AS Functional Index; ASQOL: AS Quality of Life Index; SpA: spondyloarthropathy.

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    Table 2.

    Anthropometric measurements and radiographic scoring of the juvenile onset (JOAS) and adult onset ankylosing spondylitis (AOAS) patients.

    MeasureAOASJOASOR (95% CI) Adjusted for AgeOR (95% CI) Adjusted for Disease Duration
    MeanSDMedianMeanSDMedian
    Cervical rotation (°)56.4725.1560.0063.9421.3570.001.00 (0.99–1.02)1.03 (1.01–1.04)*
    Tragus-to-wall, cm16.867.0415.0016.556.9914.751.04 (0.99–1.09)0.94 (0.88–1.00)
    Lateral flexion, cm9.955.769.5010.345.9910.000.95 (0.89–1.01)1.08 (1.01–1.15)*
    Schober, cm3.101.953.002.932.092.250.86 (0.72–1.04)1.07 (0.90–1.29)
    Intermalleolar distance, cm96.1728.43100.0095.2932.3297.000.99 (0.98–1.00)1.00 (0.99–1.02)
    BASMI3.532.613.003.102.553.001.07 (0.93–1.24)0.78 (0.66–0.92)*
    Chest expansion, cm3.991.944.004.181.924.000.90 (0.75–1.09)1.20 (1.00–1.45)*
    Finger-to-floor, cm22.1315.9422.0022.2516.7119.251.00 (0.98–1.03)0.98 (0.96–1.00)
    mSASSS27.0917.4223.0021.9614.6519.001.08 (1.04–1.12)*
    SASSS24.1318.6918.5021.5118.1419.001.04 (1.01–1.07)
    BASRI-spine7.992.197.507.562.057.001.43 (1.10–1.86)*
    BASRI-hip0.840.871.001.281.251.000.86 (0.58–1.28)
    • ↵* Statistically significant.

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The Journal of Rheumatology
Vol. 36, Issue 12
1 Dec 2009
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Pattern of Disease Onset, Diagnostic Delay, and Clinical Features in Juvenile Onset and Adult Onset Ankylosing Spondylitis
SALIH OZGOCMEN, OZGE ARDICOGLU, AYHAN KAMANLI, ARZU KAYA, BEKIR DURMUS, KADIR YILDIRIM, OZLEM BAYSAL, ALI GUR, SALIHA KARATAY, ZUHAL ALTAY, REMZI CEVIK, AKIN ERDAL, YUKSEL ERSOY, AYSEGUL J. SARAC, IBRAHIM TEKEOGLU, MAHIR UGUR, KEMAL NAS, KAZIM SENEL, HASAN ULUSOY
The Journal of Rheumatology Dec 2009, 36 (12) 2830-2833; DOI: 10.3899/jrheum.090435

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Pattern of Disease Onset, Diagnostic Delay, and Clinical Features in Juvenile Onset and Adult Onset Ankylosing Spondylitis
SALIH OZGOCMEN, OZGE ARDICOGLU, AYHAN KAMANLI, ARZU KAYA, BEKIR DURMUS, KADIR YILDIRIM, OZLEM BAYSAL, ALI GUR, SALIHA KARATAY, ZUHAL ALTAY, REMZI CEVIK, AKIN ERDAL, YUKSEL ERSOY, AYSEGUL J. SARAC, IBRAHIM TEKEOGLU, MAHIR UGUR, KEMAL NAS, KAZIM SENEL, HASAN ULUSOY
The Journal of Rheumatology Dec 2009, 36 (12) 2830-2833; DOI: 10.3899/jrheum.090435
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Keywords

ANKYLOSING SPONDYLITIS
JUVENILE ONSET
ADULT ONSET
DIAGNOSTIC DELAY

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Keywords

  • ANKYLOSING SPONDYLITIS
  • juvenile onset
  • ADULT ONSET
  • DIAGNOSTIC DELAY

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