Pediatric rheumatology is a medical specialty focused on the diagnosis, treatment, and management of autoimmune and inflammatory conditions affecting the joints, muscles, bones, and connective tissues in children and adolescents. These conditions are collectively known as pediatric rheumatic diseases or pediatric rheumatologic disorders.
What are some common pediatric rheumatic diseases?
Juvenile idiopathic arthritis (JIA): A group of chronic inflammatory joint conditions characterized by joint pain, swelling, and stiffness in children under the age of 16.
Systemic lupus erythematosus (SLE): An autoimmune disease that can affect multiple organs and tissues, including the joints, skin, kidneys, heart, and lungs.
Juvenile dermatomyositis (JDM): A rare autoimmune disease characterized by muscle weakness and skin rash.
Juvenile scleroderma: A group of rare autoimmune diseases characterized by thickening and hardening of the skin and connective tissues.
Kawasaki disease: An acute febrile illness that primarily affects young children and can lead to inflammation of the blood vessels (vasculitis).
Systemic vasculitis: Inflammation of the blood vessels that can affect various organs and tissues, leading to symptoms such as rash, joint pain, and organ dysfunction.
What are the signs and symptoms of pediatric rheumatic diseases?
Joint pain, swelling, stiffness, or limited range of motion
Muscle weakness or pain
Skin rash, especially on the face or trunk
Fatigue or malaise
Fever or other systemic symptoms
Eye inflammation or redness
Abdominal pain or gastrointestinal symptoms
What diagnostic tests are used in Pediatric Rheumatology?
Laboratory tests: Blood tests to assess inflammatory markers, autoantibodies, and other markers of autoimmune disease activity.
Imaging studies: X-rays, ultrasound, or MRI to evaluate joint and tissue inflammation, damage, or other abnormalities.
Joint aspiration: A procedure to remove fluid from an inflamed joint for analysis, which can help diagnose infection, inflammation, or other joint conditions.