{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T11:53:11Z","timestamp":1782129191262,"version":"3.54.5"},"reference-count":24,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,6,25]],"date-time":"2024-06-25T00:00:00Z","timestamp":1719273600000},"content-version":"vor","delay-in-days":24,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Rheum Dis"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Mixed connective tissue disease (MCTD) is a rare entity in children. There is a paucity of studies on juvenile\u2010onset MCTD (jMCTD) worldwide especially from Southeast Asia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To describe clinical and laboratory features of jMCTD diagnosed at pediatric rheumatology centers across India.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A predesigned detailed case proforma in an excel format was prepared and was sent to all the Pediatric Rheumatology centers in India. Eleven centers provided the clinical and laboratory data of their jMCTD patients, which was then compiled and analyzed in detail.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirty\u2010one jMCTD patients from 11 centers were included in the study. Our cohort had 27 females and four male patients over 12\u2009months (August 2021 to July 2022). The median age at presentation was 12\u2009years (range 5\u201318\u2009years) and the median duration of symptoms was 24\u2009months at diagnosis (range 2\u201396\u2009months). The common features included arthritis (90%), malar rash (70.9%), and Raynaud's phenomenon (70.9%). At a mean follow\u2010up of 43\u2009months (range 1\u2013168\u2009months), 45% of them were in remission. There were two deaths reported, due to macrophage activation syndrome and sepsis respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>We present the largest multicenter experience on jMCTD from the Indian subcontinent. The study's findings serve as a crucial stepping stone toward unraveling the complexities of jMCTD and improving patient care and management strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1756-185x.15243","type":"journal-article","created":{"date-parts":[[2024,6,25]],"date-time":"2024-06-25T08:45:36Z","timestamp":1719305136000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Exploring clinical features and therapeutic outcomes in Indian children with mixed connective tissue disease: A multicenter study"],"prefix":"10.1111","volume":"27","author":[{"given":"Suparna","family":"Guha","sequence":"first","affiliation":[{"name":"Pediatric Rheumatology VIMS &amp; RKMSP  Kolkata India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepti","family":"Suri","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Pediatric Allergy Immunology Unit PGIMER  Chandigarh 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