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Diagnosing arthritis in Children

Lookup NU author(s): Dr Sharmila JandialORCiD, Emerita Professor Helen Foster

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Abstract

Arthritis in children is common, and a major cause of potential morbidity, with significant long-term consequences, joint damage and disability if left untreated. Diagnosing Juvenile Idiopathic Arthritis (JIA) can be challenging, and relies heavily on clinical assessment; investigations are helpful to exclude other conditions, but are often normal in JIA at presentation. The history may be vague, and the child may be too young to verbalise symptoms; detailed probing for inflammatory symptoms and a comprehensive examination of the child's joints are therefore essential. If JIA is suspected, early referral to specialist multidisciplinary teams facilitates prompt treatment relief of symptoms, and achieves disease control. The emergence of novel and biologic agents, as well as earlier and more aggressive approaches to treatment, has helped to significantly improve clinical outcomes.

Publication metadata

Author(s): Ratcliff C, Denman G, Jandial S, Foster H

Publication type: Article

Publication status: Published

Journal: Paediatrics and Child Health

Year: 2019

Volume: 29

Issue: 12

Pages: 503-514

Print publication date: 09/11/2019

Online publication date: 09/11/2019

Acceptance date: 17/10/2019

ISSN (print): 1751-7222

ISSN (electronic): 1878-206X

Publisher: Elsevier

URL: https://doi.org/10.1016/j.paed.2019.09.007

DOI: 10.1016/j.paed.2019.09.007

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