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Disease Profile

Psoriatic juvenile idiopathic arthritis

Prevalence
Prevalence estimates on Rare Medical Network websites are calculated based on data available from numerous sources, including US and European government statistics, the NIH, Orphanet, and published epidemiologic studies. Rare disease population data is recognized to be highly variable, and based on a wide variety of source data and methodologies, so the prevalence data on this site should be assumed to be estimated and cannot be considered to be absolutely correct.
1-9 / 100 000

3,310 - 29,790

US Estimated

1-9 / 100 000

5,135 - 46,215

Europe Estimated

Age of onset

Childhood

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ICD-10

L40.5+ M09.0*

Inheritance

Autosomal dominant A pathogenic variant in only one gene copy in each cell is sufficient to cause an autosomal dominant disease

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Autosomal recessive Pathogenic variants in both copies of each gene of the chromosome are needed to cause an autosomal recessive disease and observe the mutant phenotype

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X-linked
dominant X-linked dominant inheritance, sometimes referred to as X-linked dominance, is a mode of genetic inheritance by which a dominant gene is carried on the X chromosome.

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X-linked
recessive Pathogenic variants in both copies of a gene on the X chromosome cause an X-linked recessive disorder

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Mitochondrial or multigenic Mitochondrial genetic disorders can be caused by changes (mutations) in either the mitochondrial DNA or nuclear DNA that lead to dysfunction of the mitochondria and inadequate production of energy.

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Multigenic or multifactor Inheritance involving many factors, of which at least one is genetic but none is of overwhelming importance, as in the causation of a disease by multiple genetic and environmental factors.

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Not applicable

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Other names (AKA)

Juvenile psoriatic arthritis; Psoriasis-related JIA; Psoriasis-related juvenile idiopathic arthritis

Categories

Lung Diseases; Musculoskeletal Diseases

Summary

Psoriatic juvenile idiopathic arthritis is a subtype of juvenile idiopathic arthritis that is characterized by both arthritis and psoriasis. Other signs and symptoms may include dactylitis (inflammation and swelling of an entire finger or toe); nail pitting or splitting; and eye problems. Although the underlying cause of psoriatic juvenile idiopathic arthritis is currently unknown (idiopathic), it is thought to occur due to a combination of genetic and environmental factors. It is very rare for more than one member of a family to have juvenile arthritis; however, research suggests that having a family member with juvenile arthritis or any autoimmune disease may increase the risk of having juvenile arthritis, in general. Treatment usually involves different types of medications to help manage symptoms and/or physical therapy.[1][2][3]

Symptoms

This table lists symptoms that people with this disease may have. For most diseases, symptoms will vary from person to person. People with the same disease may not have all the symptoms listed. This information comes from a database called the Human Phenotype Ontology (HPO) . The HPO collects information on symptoms that have been described in medical resources. The HPO is updated regularly. Use the HPO ID to access more in-depth information about a symptom.

Medical Terms Other Names
Learn More:
HPO ID
80%-99% of people have these symptoms
Abnormality of tumor necrosis factor secretion
0011118
30%-79% of people have these symptoms
Antinuclear antibody positivity
0003493
Arthralgia
Joint pain
0002829
Enthesitis
0100686
Finger dactylitis
Sausage fingers
0031090
Nail pits
Nail pitting
Pitted nails

[ more ]

0001803
Oligoarthritis
0040313
Polyarticular arthritis
0005764
Pruritus
Itching
Itchy skin
Skin itching

[ more ]

0000989
Psoriasiform dermatitis
0003765
Toe dactylitis
Sausage toes
0031091
5%-29% of people have these symptoms
Abnormal shoulder morphology
Abnormality of the shoulder
0003043
Abnormality of the knee
0002815
Abnormality of the wrist
Abnormalities of the wrists
0003019
Generalized morning stiffness
0005197
Malar rash
0025300
Psoriasiform lesion
0025526
Reduced visual acuity
Decreased clarity of vision
0007663
1%-4% of people have these symptoms
Abnormality of the temporomandibular joint
Abnormality of the jaw joint
Deformity of the jaw joint
Malformation of jaw joint

[ more ]

0010754
Iridocyclitis
0001094
Iritis
Inflammation of iris
0001101
Onycholysis
Detachment of nail
0001806
Sacroiliac arthritis
0012317

Treatment

FDA-Approved Treatments

The medication(s) listed below have been approved by the Food and Drug Administration (FDA) as orphan products for treatment of this condition. Learn more orphan products.

  • Methotrexate oral solution(Brand name: Xatmep) Manufactured by Silvergate Pharmaeuticals, Inc.
    FDA-approved indication: April 2017, methotrexate oral solution (Xatmep) was approved for the treatment of oligoarticular juvenile idiopathic arthritis (persistent oligoarthritis, psoriatic juvenile idiopathic arthritis, enthesitis-related arthritis, or undifferentiated arthritis) and polyarticular juvenile idiopathic arthritis in children 0 through 16 years of age.
    National Library of Medicine Drug Information Portal

Organizations

Support and advocacy groups can help you connect with other patients and families, and they can provide valuable services. Many develop patient-centered information and are the driving force behind research for better treatments and possible cures. They can direct you to research, resources, and services. Many organizations also have experts who serve as medical advisors or provide lists of doctors/clinics. Visit the group’s website or contact them to learn about the services they offer. Inclusion on this list is not an endorsement by GARD.

Organizations Supporting this Disease

    Organizations Providing General Support

      Learn more

      These resources provide more information about this condition or associated symptoms. The in-depth resources contain medical and scientific language that may be hard to understand. You may want to review these resources with a medical professional.

      Where to Start

      • Genetics Home Reference (GHR) contains information on Psoriatic juvenile idiopathic arthritis. This website is maintained by the National Library of Medicine.
      • The National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) support research into the causes, treatment, and prevention of arthritis and musculoskeletal and skin diseases, the training of basic and clinical scientists to carry out this research, and the dissemination of information on research progress in these diseases. Click on the link to view information on this topic.

        In-Depth Information

        • Medscape Reference provides information on this topic. You may need to register to view the medical textbook, but registration is free.
        • The Monarch Initiative brings together data about this condition from humans and other species to help physicians and biomedical researchers. Monarch’s tools are designed to make it easier to compare the signs and symptoms (phenotypes) of different diseases and discover common features. This initiative is a collaboration between several academic institutions across the world and is funded by the National Institutes of Health. Visit the website to explore the biology of this condition.
        • Online Mendelian Inheritance in Man (OMIM) is a catalog of human genes and genetic disorders. Each entry has a summary of related medical articles. It is meant for health care professionals and researchers. OMIM is maintained by Johns Hopkins University School of Medicine. 
        • Orphanet is a European reference portal for information on rare diseases and orphan drugs. Access to this database is free of charge.
        • PubMed is a searchable database of medical literature and lists journal articles that discuss Psoriatic juvenile idiopathic arthritis. Click on the link to view a sample search on this topic.

          References

          1. David D Sherry, MD. Juvenile Idiopathic Arthritis. Medscape Reference. September 2015; https://emedicine.medscape.com/article/1007276-overview.
          2. Juvenile Arthritis. National Institute of Arthritis and Musculoskeletal and Skin Diseases. June 2015; https://www.niams.nih.gov/Health_Info/Juv_Arthritis/default.asp#2.
          3. Juvenile idiopathic arthritis. Genetics Home Reference. February 2015; https://ghr.nlm.nih.gov/condition/juvenile-idiopathic-arthritis.