Abstract
AN article in this week's issue of the Journal, entitled "Penicillamine and Hydroxychloroquine in the Treatment of Severe Juvenile Rheumatoid Arthritis: Results of the U.S.A.-U.S.S.R. Double-Blind Placebo-Controlled Trial," concludes that in the presence of a nonsteroidal antiinflammatory drug, neither agent is superior to placebo in the treatment of the disorder.1 Juvenile rheumatoid arthritis comprises a group of childhood diseases characterized by chronic arthritis affecting peripheral joints with varying degrees of severity or by systemic involvement, with an unpredictable course.2 The basic treatment regimen consists of a nonsteroidal antiinflammatory drug and supportive programs such as physical therapy. If the patient . . .