Chronic limping in childhood, what else other than juvenile idiopathic arthritis: a case series
Cristina Tumminelli1, Serena Pastore2, Andrea Taddio3,4
1University of Trieste, Trieste, Italy.
Insights
Diagnosing childhood limping can be challenging. While trauma is common, chronic limping without injury often suggests Juvenile Idiopathic Arthritis, but rare conditions require consideration.
Area of Science:
- Pediatrics
- Rheumatology
- Diagnostic Imaging
Background:
- Limping is a frequent pediatric symptom with diverse etiologies.
- Accurate diagnosis of the underlying cause of limping presents a clinical challenge for pediatricians.
Background:
Limping is a common clinical symptom in childhood; different clinical conditions may lead to limping and the diagnosis of the underlying cause may often be a challenge for the pediatrician.
Case Presentation:
We describe the clinical manifestations, radiological pictures and disease course of other causes of limping in childhood, through a case series of seven cases and a brief discussion of each disease.
Conclusions:
although trauma is the most common cause of acute limping, when there is no history of traumatic events and the limping has a chronic course, Juvenile Idiopathic Arthritis is usually the most likely clinical diagnosis. However, other some rare conditions should be taken into account if JIA is not confirmed or if it presents with atypical clinical picture.
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