By Thomas J.A. Lehman
Within the usa on my own, approximately 300,000 kids be afflicted by a few kind of arthritis or rheumatic sickness, and thousands extra are vulnerable to constructing this sort of illnesses. during this marvelously down-to-earth advisor, Thomas Lehman--the head of 1 of the prime pediatric rheumatology courses within the world--offers a gold mine of specialist recommendation useful for pediatricians who are looking to turn into more adept in knowing, diagnosing, and treating rheumatic sickness in young children. Dr. Lehman is helping pediatricians interpret their sufferers' proceedings and confirm even if and what kind of clinical recognition is required, explaining what indicators to seem for, what inquiries to ask, what checks to run, and what to anticipate while remedy starts. utilizing illustrative anecdotes, this publication sheds mild on a variety of rheumatic disorders--including juvenile arthritis, Lyme illness, lupus, Kawasaki illness, fibromyalgia, and persistent fatigue syndrome--and it addresses such the most important themes as drug protection, genetic issues, the aptitude hazards to little ones posed via drugs, the trouble of family members existence while a toddler has a protracted illness, and masses extra. A Clinician's advisor to Rheumatic illnesses in young children captures the services of a committed surgeon with over thirty years of hands-on event assisting youngsters lead general, satisfied lives. it's going to aid pediatricians ensure that sufferers in achieving the absolute best consequence.
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Additional info for A Clinician's Guide to Rheumatic Diseases in Children
14–1 in Chapter 14). George also had a lump on his left elbow. ” CREST syndrome is a variant of scleroderma (see Chapter 15). The key ﬁndings are calcinosis (the bump on his arm), Raynaud’s phenomenon, esophageal problems (the difﬁculty swallowing certain foods), sclerodactyly (long, thin ﬁngers), and telangiectasia (the red spots on his face and hands). Different physicians had seen George for each of the ﬁndings, and when asked, he knew about all of them. But no one had put them all together to make the proper diagnosis.
Muscular Irritation Wryneck (torticollis) is a condition in which the child holds the head to one side because of problems with the sternocleidomastoid muscle. This muscle at the front of the neck is sometimes injured at birth and becomes shortened as a 48 A C H I L D C O M P L A I N S O F PA I N result of the injury. Children with this problem do not usually report pain, since it has been present since birth. However, they may develop neck pain as their muscles try to compensate for the injury if the problem is not corrected as they get older.
If one side of the back is lower than the other, further evaluaFigure 3-5 A positive scoliosis screen with tion by an orthopedist is necessary. the ribs on the left side appearing higher than those on the right when the child bends over. The shoulders may also appear uneven when the child stands up, but this is more difﬁcult to notice. Treatment and monitoring Once detected, scoliosis should be carefully evaluated and followed. Many children have only mild curvatures and require no treatment, but others have progressive disease requiring bracing and, less frequently, surgery.