Limb Pain in Childhood

Lower Limb Pain in a Preadolescent Population: Prognosis and Risk Factors for Chronicity—A Prospective 1- and 4-Year Follow-up Study

“…However, recurrences have also been reported a few years later. [13][14][15][16] In another 2-to 8-year follow-up study of female adolescents with idiopathic anterior knee pain, the majority, although with less severity, reported persistence of pain. 17 Prognostic studies on traumatic lower limb injury in schoolchildren are scarce and almost exclusively about athletic adolescents.…”

The Discriminating Value of Serum LactateDehydrogenase Levels in Children With Malignant Neoplasms Presenting as Joint Pain

“…Because of nonspecific or absent hémato¬ logie abnormalities, the diagnosis of leu¬ kemia was delayed an average of 5Vi weeks.1 In other studies, the correct diagnosis of leu¬ kemia was delayed 1 to 24 months. [2][3][4][5][6][7][8][9] These children often are initially referred to pédiatrie rheumatologists for evaluation of collagen vascular dis¬ ease.2'3310 Most of these patients with malignant neoplasm do not have clinical features that distinguish their arthritis from that of children with rheumatic diseases,1"35 and one fifth have normal complete blood cell counts. 7 We studied the possibility that in¬ creased serum lactate dehydrogenase (LDH) levels are an indicator of neoplastic disease in children who present with arthritis and unremarkable complete blood cell counts and blood smears.…”

Dor do crescimento

“…Outros autores introduziram o conceito de tempo, no qual a dor deve estar presente em pelo menos três meses como fator importante na caracterização da DC 5 . A DC também foi conceituada como dor que inicia na infância e termina na vida adulta de caráter musculoesquelética intermitente, geralmente bilateral localizada na coxa ou na perna, conhecida também como dor óssea recorrente benigna 6 e mais recentemente outros autores completaram a definição como dor noturna, intermitente na musculatura da coxa ou na perna que compromete crianças na idade pré-escolar e que ocorre após atividade física ou estresse respondendo bem ao tratamento com massagem manual e acetaminofeno [7][8][9] . Outros autores definiram a DC como síndrome dolorosa musculoesquelética não inflamatória que compromete de 3% a 37% das crianças sendo mais frequente do que as outras doenças inflamatórias na infância 10 .…”