Diagnostic Aproach To Children With Painful Joints

Year 2014, , 201 - 209, 01.05.2014

Şule Şahin Onat

https://doi.org/10.5505/abantmedj.2014.08108

Abstract

Majority of all reasons of apply hospital for children is the joint pain. Pain is a objective sign and it is important to distinguish whether this reason of sign is organic or not. After decided to organic caused pain with clinical signs. The causes related to traumatic, orthopedic, hematological, endocrine and metabolic, rheumatologic diseases, and infectious causese and nutrition should be reviewed. Diseases that cause joint pain in children presents a wide range. For fast and accurate diagnosis, careful history taking to physical examination, the physician query systems provide many clues. In this article diagnostic approach reviewed on children patients with joint pain, the sensitivity of this issue emphasized again.

Keywords

Children, joint pain

Eklem Ağrılı Çocuklarda Tanısal Yaklaşım

Abstract

Çocukların polikliniklere başvuru nedenlerinin önemli bir kısmını eklem ağrıları oluşturmaktadır. Ağrı öznel bir bulgudur ve nedeninin organik olup olmadığını ayırt etmek önemlidir. Klinik bulgularla organik nedenli olduğu düşünüldükten sonra ağrıya yol açabilecek altta yatan travmatik, ortopedik, hemotolojik, endokrin ve metabolik nedenler, romatolojik hastalıklar ve enfeksiyöz nedenler, beslenme ile ilgili nedenler gözden geçirilmelidir. Çocuklarda eklem ağrısına neden olan hastalıklar çok geniş bir dağılım sergilemektedir. Hızlı ve doğru tanı için dikkatli bir öykü almak ve fizik muayene yapmak, hekime birçok ipucu sağlamaktadır. Bu yazıda eklem ağrısıyla gelen çocuğa tanısal yaklaşım gözden geçirilmiş, bu konudaki hassasiyet tekrar vurgulanmıştır.

Keywords

Çocuk, eklem ağrısı

References

• 1. Mauldin J, Cameron HD, Jeanotte D, Solomon G, Jarvis JN. Chronic arthritis in children and adolescents in two Indian health service user populations. BMC Musculoskeletal Disorders 2004;5:1-7.
• 2. Davies K, Copeman A. The spectrum of paediatric and adolescent rheumatology. Best Pract Res Clin Rheumatol 2006;20:179-200.
• 3-Siegel DM. Chronic arthritis in adolescence. Adolesc Med State Art Rev. 2007;18:47-61.
• 4. Guillaume S. Juvenile oligoarthritis. A diagnosis not to be ignored. Presse Med 2000;29:517-20.
• 5. Gülle S, Açarı C, Serdaroğlu E, Can D, Bak M. Çocukluk Çağı Artritinde Etiyoloji. 50.Milli Pediatri Kongresi, 8-12 Kasım 2006, Antalya, Bildiri Özet Kitabı, PP-399.
• 6. Petty RE, Cassidy JT. Introduction to the study of rheumatic diseases in children, In: Cassidy J. T, Petty R. E (Eds): Textbook of Pediatric Rheumatology. 4th ed. W.B. Saunders, Philadelphia 2001:5-10.
• 7. Gülle S, Bak M, Açar C, Can D, Serdaroğlu E. Artrit Tanısıyla Yatan Hastaların Etiyolojik Sınıflandırılması. Ege Pediatri Bülteni 2008, 15:7-13.
• 8. Ryan MJ, Kavanagh P, Wall G, Hazleman BL. Bacterial joint infections in England and Wales: analysis of bacterial isolates over a four year period. Br J Rheumatol. 1997, 36: 370-3.
• 9. Knights EM. Infectious arthritis. J Foot Surg 1982; 21: 229-4.
• 10. Barton LL, Dunkle L M, Habib FH. Septic arthritis in childhood. A 13-year review. Am J Dis Child 1987;141: 898-2.
• 11. Boros C, Whitehead B. Juvenile idiopathic Arthritis. Reprinted from Austra Lian Family Physician 2010;39:9.
• 12. Miller M. L, Petty RE. Rhematic Disease of Childhood (Connective Tissue Discase, Collogen Vascular Diseases), In: Kliegman R. M, Behrman R. E, Jenson H. B, Stanton B. F (Eds): Nelson Textbook of Pediatrics.18th ed. Saunders, Philadelphia 2007. p. 995- 1051.
• 13. Azouz EM, Duffy CM. Juvenile spondyloarthropathies: clinical manifestations and medical imaging. Skeletal Radiol 1995;24:399-408.
• 14. Job-Deslandre C. Juvenile spondylarthropathy. Presse Med 2000;29:510-6.
• 15. Prieur AM. Spondyloarthropathies in childhood. Baillieres Clin Rheumatol 1998;12:287-307.
• 16. Stoll ML, Bhore R, Dempsey-Robertson M, Punaro M. Spondyloarthritis in a pediatric population: risk factors for sacroiliitis. J Rheumatol. 2010;37:2402-8.
• 17. Gerber MA, Zemel LS, Shapiro ED. Lyme arthritis in children: clinical epidemiology and long-term outcomes. Pediatrics. 1998;102:905-8.
• 18. Gerber MA, Shapiro ED, Burke GS, Parcells VJ, Bell GL. Lyme disease in children in southeastern Connecticut. Pediatric Lyme Disease Study Group. Engl J Med. 1996;335:1270-4.
• 19. Al-Eissa YA, Kambal AM, Alrabeeah AA, Abdullah AM, al-Jurayyan NA, al-Jishi NM. Osteoarticular brucellosis in children. Ann Rheum Dis. 1990;49:896-900.
• 20. Hashemi SH, Keramat F, Ranjbar M, Mamani M, Farzam A, Jamal-Omidi S. Osteoarticular complications of brucellosis in Hamedan, an endemic area in the west of Iran. Int J Infect Dis. 2007;11:496-500.
• 21. Lennon D. Acute rheumatic fever in children: recognition and treatment. Paediatr Drugs. 2004;6:363-73.
• 22. Cerniauskiene V, Jakutovic M, Panaviene V. Poststreptococcal reactive arthritis. Medicina 2004;40:414-8.
• 23. Majeed HA, Rawashdeh M. The clinical patterns of arthritis in children with familial Mediterranean fever. QJM. 1997;90:37-43.
• 24. Reed AM, Lopez M. Juvenile dermatomyositis: recognition and treatment. Paediatr Drugs. 2002;4:315-21.
• 25. Dressler F, Huppertz HI. Juvenile dermatomyositis. Z Rheumatol. 2006;65:587-90.
• 26. Quain RD, Werth VP. Management of cutaneous dermatomyositis: current therapeutic options. Am J Clin Dermatol. 2006;7:341-51.
• 27. Uziel Y, Hashkes PJ. Growing pains in children. Harefuah. 2008;147:809-11.
• 28. Manners P. Are growing pains a myth? Aust Fam Physician. 1999;28:124-7.
• 29. Asadi-Pooya AA, Bordbar MR. Are laboratory tests necessary in making the diagnosis of limb pains typical for growing pains in children? Pediatr Int. 2007;49:833-5.
• 30. Hashkes PJ, Wright BM, Lauer MS, Worley SE, Tang AS, Roettcher PA, Bowyer SL. Mortality outcomes in pediatric rheumatology in the US. Arthritis Rheum. 2010;62:599-608.
• 31. Ringold S, Wallace CA, Rivara FP. Health-related quality of life, physical function, fatigue, and disease activity in children with established polyarticular juvenile idiopathic arthritis. J Rheumatol. 2009;36:1330-6.
• 32. Cassidy JT. Rheumatic Diseases of Childhood. In: McMillan JA, Feigen RD, DeAngelis CD, Jones MD (Eds): Oski’s Pediatrics. 4th ed. Philadelphia: Lippincott Williams-Wilkins; 2006, 2537-25.sss