The pathogenesis of juvenile idiopathic arthritis (JIA) is not fully understood. So, this study was conducted to investigate the clinical usefulness of serum IL-33 levels as an indicator of the disease activity in JIA. Methods. This cross-sectional study was conducted on 45 JIA patients. All patients were subjected to detailed history taking, complete clinical examination with emphasis on pattern and distribution of articular and extra-articular involvement. Disease activity score (DAS28) was assessed. Venous blood (10 ml) was collected to assess routine laboratory investigations in addition to IL-33. Results . Most of patients had sudden arthritis onset (64.4%) and (95.6%) had progressive course. 6 patients (13.3%) of patients had oligoarticular arthritis, 17 patients (37.8%) had polyarticular arthritis and 22 patients (48.9%) had systemic arthritis. 88.9% had emotional aggravation factor, while 86.7% had medication and movement as relieving factors. Only 8.9% of patients' diseases are controlled, 46.7% had relapse, and 6.7% stopped treatment. 66.7% of patients had good response and 33.3% had poor response. JIA patients had a significantly higher serum IL-33 levels compared to IL-33 serum in the control group (p=0.008). There was significant positive correlation between IL-33 with duration of disease (p=0.002, r=0.612), DAS28CRP (p<0.001, r=0.705) and DAS28_ESR (p=0.001, r=0.667), However, serum IL-33 levels did not significantly correlate with the levels of serum CRP or ESR. Conclusions. JIA patients have significantly elevated IL-33 serum concentrations and that considerably correlated with clinical, laboratory and activity parameters of disease suggesting that it could be a valuable marker of JIA disease activity.