ASSESSMENT OF ANAEMIA IN CHILDREN WITH JUVENILE IDIOPATHIC ARTHRITIS AND ITS RELATIONSHIP WITH DISEASE ACTIVITY AND DISEASE DURATION

Rumana Riaaz*, Susmita Das, Md. Imnul Islam and Shahana A. Rahman

ABSTRACT

Background: Anaemia is a common complication of JIA and it usually correlates with disease activity and duration. Objective: To assess anaemia in JIA patients including its severity, morphological types and determine its relationship with disease activity and duration. Methodology: This cross sectional study was done in the department of paediatrics, Bangabandhu Sheikh Mujib Medical University (BSMMU) from January 2017 to June 2018. Eighty new cases of JIA fulfilling ILAR classification criteria were included in this study. A detailed questionnaire was completed for each participant which included clinical and laboratory characteristics, severity of anaemia and disease activity. Results: Mean age of JIA patients was 9.36 years with male: female ratio 1.57:1. Most of the JIA patients (91.25%) were suffering from anaemia. Ninety six percent of polyJIA patients were anaemic followed by SJIA (95%), ERA (88%) and Oligoarticular cases (71%). All the patients with severe disease activity were anaemic of which majority were moderately anaemic (47.7%) followed by severly anaemic (29.5%). Significant relationtionship of anaemia with disease activity and disease duration were observed in this study. Conclusion: Most of the JIA patients were suffering from anaemia. Disease duration and disease activity of JIA patients were significantly related with anaemia in this study.

Keywords: JIA, Anaemia, Disease Activity.