Logo of annrheumdAnnals of the Rheumatic DiseasesVisit this articleSubmit a manuscriptReceive email alertsContact usBMJ
Ann Rheum Dis. Mar 1992; 51(3): 343–346.
PMCID: PMC1004657

Assessment of pain in patients with juvenile rheumatoid arthritis: relation between pain intensity and degree of joint inflammation.


The relation between pain and joint inflammation in patients with juvenile rheumatoid arthritis has not previously been systematically evaluated. Eighteen patients with juvenile rheumatoid arthritis completed paediatric pain questionnaires and the joints affected were examined by thermography. Although significant correlations were shown between parent and doctor pain intensity ratings and joint temperature, correlations of patient pain intensity ratings and joint temperature were only significant in younger children. The degree of joint inflammation is only one factor of several contributing to the amount of subjective pain experienced by children with juvenile rheumatoid arthritis, indicating the need for a comprehensive assessment of the relatively independent variables of inflammation and pain in children with juvenile rheumatoid arthritis.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (716K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Lovell DJ, Walco GA. Pain associated with juvenile rheumatoid arthritis. Pediatr Clin North Am. 1989 Aug;36(4):1015–1027. [PubMed]
  • Varni JW, Thompson KL, Hanson V. The Varni/Thompson Pediatric Pain Questionnaire. I. Chronic musculoskeletal pain in juvenile rheumatoid arthritis. Pain. 1987 Jan;28(1):27–38. [PubMed]
  • Walco GA, Dampier CD. Pain in children and adolescents with sickle cell disease: a descriptive study. J Pediatr Psychol. 1990 Oct;15(5):643–658. [PubMed]
  • Kantor TG. Concepts in pain control. Semin Arthritis Rheum. 1989 May;18(4 Suppl 2):94–99. [PubMed]
  • Giannini EH, Brewer EJ. Poor correlation between the erythrocyte sedimentation rate and clinical activity in juvenile rheumatoid arthritis. Clin Rheumatol. 1987 Jun;6(2):197–201. [PubMed]
  • Devereaux MD, Parr GR, Thomas DP, Hazleman BL. Disease activity indexes in rheumatoid arthritis; a prospective, comparative study with thermography. Ann Rheum Dis. 1985 Jul;44(7):434–437. [PMC free article] [PubMed]
  • Bacon PA, Davies J, Ring FJ. Benoxaprofen--dose-range studies using quantitative thermography. J Rheumatol Suppl. 1980;6:48–53. [PubMed]
  • Mignone F, Sardella M, Barbero I, Dho C, Ciravegna P, Sciolla N, Comotto M, Cesarani F, Bocchini R. Applicazione della termografia nella diagnosi e nel follow-up dell'artrite reumatoide infantile. Minerva Pediatr. 1986 Apr 15;38(7):231–234. [PubMed]
  • Brewer EJ, Jr, Bass J, Baum J, Cassidy JT, Fink C, Jacobs J, Hanson V, Levinson JE, Schaller J, Stillman JS. Current proposed revision of JRA Criteria. JRA Criteria Subcommittee of the Diagnostic and Therapeutic Criteria Committee of the American Rheumatism Section of The Arthritis Foundation. Arthritis Rheum. 1977 Mar;20(2 Suppl):195–199. [PubMed]
  • Schaller JG. Juvenile rheumatoid arthritis: Series 1. Arthritis Rheum. 1977 Mar;20(2 Suppl):165–170. [PubMed]
  • Pochaczevsky R, Wexler CE, Meyers PH, Epstein JA, Marc JA. Liquid crystal thermography of the spine and extremities. Its value in the diagnosis of spinal root syndromes. J Neurosurg. 1982 Mar;56(3):386–395. [PubMed]
  • Varni JW, Wilcox KT, Hanson V, Brik R. Chronic musculoskeletal pain and functional status in juvenile rheumatoid arthritis: an empirical model. Pain. 1988 Jan;32(1):1–7. [PubMed]
  • Thompson KL, Varni JW. A developmental cognitive-biobehavioral approach to pediatric pain assessment. Pain. 1986 Jun;25(3):283–296. [PubMed]
  • Beales JG, Keen JH, Holt PJ. The child's perception of the disease and the experience of pain in juvenile chronic arthritis. J Rheumatol. 1983 Feb;10(1):61–65. [PubMed]
  • Sherry DD, Bohnsack J, Salmonson K, Wallace CA, Mellins E. Painless juvenile rheumatoid arthritis. J Pediatr. 1990 Jun;116(6):921–923. [PubMed]
  • Lightman HI, Pochaczevsky R, Aprin H, Ilowite NT. Thermography in childhood reflex sympathetic dystrophy. J Pediatr. 1987 Oct;111(4):551–555. [PubMed]

Articles from Annals of the Rheumatic Diseases are provided here courtesy of BMJ Group


Related citations in PubMed

See reviews...See all...

Cited by other articles in PMC

See all...


  • MedGen
    Related information in MedGen
  • PubMed
    PubMed citations for these articles

Recent Activity

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

See more...