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[Management of monoarthritis in children]

C Galeotti1, I Koné-Paut

  • 1Service de pédiatrie générale, rhumatologie pédiatrique, Centre national de référence des maladies auto-inflammatoires, CEREMAI, université de Paris sud, CHU Bicêtre, AP-HP, 78, rue du Général-Leclerc, 94270 Le Kremlin-Bicêtre, France. caroline.galeotti@gmail.com

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|October 2, 2012
PubMed

Insights

Childhood joint swelling often indicates monoarthritis. Prompt diagnosis via joint aspiration and tests like inflammatory markers is crucial to prevent joint damage and identify causes.

Area of Science:

  • Pediatric rheumatology
  • Orthopedic surgery
  • Infectious diseases

Context:

  • Joint swelling is a frequent pediatric concern.
  • Monoarthritis, affecting a single joint, requires careful evaluation.
  • Distinguishing between various causes is essential for appropriate management.

Purpose:

  • To outline a diagnostic approach for childhood monoarthritis.
  • To discuss key investigations, including joint aspiration.
  • To review common and critical etiologies of pediatric monoarthritis.

Summary:

  • Acute monoarthritis in children necessitates urgent joint aspiration to exclude septic arthritis.
  • Clinical history, physical examination, inflammatory markers, autoantibodies, tuberculosis testing, and imaging aid diagnosis.
  • Understanding the differential diagnosis is vital for timely and effective treatment.

Impact:

  • Facilitates accurate diagnosis of pediatric monoarthritis.
  • Guides clinicians in managing joint inflammation in children.
  • Aims to prevent long-term joint damage and disability.

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