We thank Ferjani HL et al. for their interest in our article “Hip involvement in children with enthesitis-related arthritis (ERA) is associated with poor outcomes in adulthood.” Hip involvement, axial involvement, and HLA-B27 positivity were the major predictors of poor long-term outcomes in adulthood [
1]. We also observe in our clinic that early intra-articular hip injection with glucocorticoids within 3 months of symptom onset delays or prevents the hip disease from progressing. This is similar to data with IA injection of other peripheral joints [
2,
3]. It would be a good practice to educate the patients for red flag signs of early hip involvement apart from uveitis which is usually told to the patient. …