PT  - JOURNAL ARTICLE
AU  - R. H. Hill
AU  - A. Herstein
AU  - K. Walters
TI  - Juvenile rheumatoid arthritis: follow-up into adulthood - medical, sexual and social status
DP  - 1976 May 08
TA  - Canadian Medical Association Journal
PG  - 790--796
VI  - 114
IP  - 9
4099  - http://www.cmaj.ca/content/114/9/790.short
4100  - http://www.cmaj.ca/content/114/9/790.full
SO  - CMAJ1976 May 08; 114
AB  - Fifty-eight adults were studied an average of 14.5 years after the diagnosis of juvenile rheumatoid arthritis had been made. The pattern of disease had been typical with respect to various categories, complications and course; HLA-B27 antigen was found at follow-up in 25% of those tested. Two thirds now had mild to moderate disease, good sexual adjustment and "normal" educational achievement, employment history and lifestyle. One third had severe disease, often with progressive disability; this did not prevent sexual activity but caused some limitations, and the need for sexual counseling is emphasized. Ongoing activity of the disease process rather than severity of disability seemed the chief factor preventing a normal lifestyle.