DOI: https://doi.org/10.36347/sjmcr.2025.v13i10.022

Pages: 2279-2283

Background: The JADAS (Juvenile Arthritis Disease Activity Score) is a recent tool for evaluation of the activity of juvenile idiopathic arthritis (JIA). The aims of this study are to assess the activity of juvenile idiopathic arthritis among Moroccan children by JADAS, and to identify the variables which are related to the disease and that influence the JADAS. Materials and Methods: Cross-sectional study including 47 patients with JIA defined by the ILAR 2001 classification. Sociodemographic, clinical and para-clinical parameters related to patient and disease were collected. Assessment activity of JIA was made by a validated score, JADAS 10. This score includes four steps: physician global VAS, VAS welfare parent / patient, number of active joints and erythrocyte sedimentation rate was standardized to a score ranging from 0 to 10, by the formula (VS-20) / 10. JADAS-10 is calculated as the simple linear sum of its four components, which gives a total score of 0-40, with higher scores corresponding to a severe disease activity. A Childhood Health Assessment Questionnaire (CHAQ) in the Moroccan version was completed by the parents. Biological parameters were measured by ESR (Westergren method) and CRP (C-reactive protein level) (nephelometry). Patients received treatment (therapy) such as Corticosteroid, non-steroidal anti-inflammatory (AINS), biotherapy and Methotrexate (MTX). The state of minimal disease activity in JIA(MDA) has been described as the presence of a physician’s global rating of disease activity ≤3.4, a parent’s global rating of well-being ≤2.5, and a swollen joint count ≤1 in polyarthritis, and as the presence of a physician’s global assessment of disease activity ≤2.5 and a swollen joint count = 0 in oligoarthritis. A descriptive and analytical statistical analysis was performed. Results: 47 patients were included with a predominance of male n = 28 (59.6%), the mean age was 11.5 years ± 3.3. Fourty patients (85.1%) were schooled. The duration of evo