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Rheumatic disease mimics in childhood.

B M Ansell1

  • 1The Consulting Rooms, Windsor, UK.

Current Opinion in Rheumatology
|September 16, 2000
PubMed
Summary
This summary is machine-generated.

Children's aches and pains stem from various causes, from infections to serious conditions like malignancy. Prompt evaluation with history, examination, and blood tests is crucial for accurate diagnosis and appropriate treatment.

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Area of Science:

  • Pediatrics
  • Rheumatology
  • Musculoskeletal Disorders

Background:

  • Pediatric musculoskeletal pain has diverse etiologies, ranging from benign infections to severe skeletal pathologies.
  • Accurate diagnosis is essential to differentiate common ailments from serious conditions like malignancy or skeletal dysplasias.

Purpose of the Study:

  • To outline the diagnostic approach for children presenting with aches and pains.
  • To emphasize the importance of recognizing conditions that mimic juvenile idiopathic arthritis.

Main Methods:

  • Comprehensive patient history, including family history.
  • Thorough physical examination.
  • Initial laboratory investigations: erythrocyte sedimentation rate, hemoglobin, white blood cell count, platelets, rheumatoid factor, and antinuclear factor.

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Main Results:

  • Specific tests are indicated based on clinical suspicion.
  • Bacterial infections present with fever, toxicity, and a single hot, swollen, painful joint.
  • Conditions mimicking systemic juvenile arthritis include infections, inflammatory bowel disease, malignancy, and connective tissue diseases.

Conclusions:

  • No child should be diagnosed with juvenile idiopathic arthritis without excluding other causes and confirming specific clinical findings.
  • Early recognition of unusual syndromes and prompt investigation of suspected infections are critical for optimal outcomes.