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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
نسخه الکترونیک
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Examples of review of systems in the differential diagnosis of childhood joint pain and swelling

Examples of review of systems in the differential diagnosis of childhood joint pain and swelling
Affected system Diagnosis Manifestation
Dermatologic SLE Malar rash and hair loss
Dermatomyositis Gottron's papules
Systemic JIA Evanescent, pink macular rash
IgAV (HSP) Lower-extremity purpuric lesions
Parvovirus "Slapped cheek" erythema
ARF Erythema marginatum
Kawasaki disease Ranging from nonspecific erythema to subcutaneous edema and skin peeling
Ophthalmologic Oligoarthritis or psoriatic JIA Asymptomatic chronic anterior uveitis
Enthesitis related arthritis Acute symptomatic uveitis (pain, redness)
Kawasaki disease Conjunctival injection without discharge
Sjögren's syndrome Dry eyes with keratitis
Oral SLE Painless oral ulcers on palate
Behçet disease Large, extremely painful oral ulcers
Kawasaki disease Mucositis and strawberry tongue
Respiratory CF or immunodeficiency Recurrent pneumonia
Granulomatosis with polyangiitis Destructive upper tract lesions
SLE or systemic JIA Pleuritis
SLE or scleroderma Interstitial lung disease
Eosinophilic granulomatosis with polyangiitis (Churg-Strauss) Eosinophilic pneumonia
Cardiovascular ARF or endocarditis New heart murmur
SLE, systemic JIA, or ARF Pericarditis
SLE or scleroderma Raynaud phenomenon
Takayasu arteritis Absent pulses
Kawasaki disease Carditis, coronary artery aneurysms
Gastrointestinal IBD, SLE, vasculitis, leukemia, lymphoma, or other malignancy Weight loss or poor growth
IBD Diarrhea and abdominal pain
Reactive arthritis Preceding infectious gastroenteritis
IgAV (HSP) Intermittent colicky abdominal pain
Periodic fevers (FMF, PFAPA) Abdominal pain during fever episodes
Genitourinary Gonococcal arthritis Pustular urethritis or cervicitis
Reactive arthritis Nongonococcal urethritis
Behçet disease or IBD Large, painful genital ulcerations
Hematologic SLE or hemoglobinopathy (eg, SCD) Pancytopenia, hemolytic anemia
Leukemia, lymphoma Cytopenias, blasts on smear
Bleeding disorders Hemarthrosis
Neurologic SLE Seizures and psychosis
SLE or fibromyalgia Difficulty concentrating
SLE, vasculitis, or hypercoagulability Stroke
Vasculitis, including Kawasaki disease Asymmetric polyneuropathy, severe irritability
Dermatomyositis and polymyositis Proximal muscle weakness
SLE: systemic lupus erythematous; JIA: juvenile idiopathic arthritis; IgAV (HSP): immunoglobulin A vasculitis (Henoch-Schönlein purpura); ARF: acute rheumatic fever; CF: cystic fibrosis; IBD: inflammatory bowel disease; FMF: familial Mediterranean fever; PFAPA: periodic fever with aphthous stomatitis, pharyngitis, and adenitis; SCD: sickle cell disease.
Courtesy of Yukiko Kimura, MD and Taunton R Southwood, MD, FRACP, FRCPA, FRCP, FRCPCH.
Graphic 56247 Version 10.0

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