Spectrum of paediatric rheumatologic disease: The Mumbai experience

Khubchandani, Raju; Hasija, Rachana

doi:10.1016/s0973-3698(12)60023-5

Cited by 2 publications

(9 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…JIA was reported as the most frequent diagnosis by pediatric rheumatologists [7,8,10,18,21,[24][25]29]. In our study, JIA (24.3%) forms the commonest cause of PRDs with SJIA (44.4%) considered as the most common type of JIA, this was consistent with reports from Mumbai and Japan were SJIA forms 42% and 50%, respectively [9,30]. This finding could be attributed to the attitude of dealing with most cases of oligo and polyarticular JIA as outpatients while patients with SJIA usually referred or admitted because of their vague presentation [31].…”

Section: Discussionsupporting

confidence: 90%

“…Olaosebikan et al, reported that 60% of children referred with a suspected rheumatic condition, didn't have confirmed rheumatic diagnosis [21]. Leukemia and other malignancies were considered as a great mimic of rheumatic diseases [9,26]. About 1/3 of childhood leukaemia presented with MSK pain [12].…”

Section: Discussionmentioning

confidence: 99%

“…1. Difficulty in recognizing the diagnosis, which might be explained by the shortage of pediatric rheumatologists as well as a general lack of awareness of this subject [6] and the technique of pediatric MSK examination at the primary care level [9,26]. Myers et al, reported a limited number of patients being asked about MSK symptoms or even had full joint or gait examination, even in those children presenting with "limp" [32].…”

Section: Discussionmentioning

confidence: 99%

“…3. Many cases were primarily managed by either adult or pediatric orthopaedic surgeon before referral [5,9,24,31]. 7.…”

Section: Discussionmentioning

confidence: 99%

“…In developing countries, difficult estimation of PRDs prevalence is usually related to decreased awareness of physicians towards rheumatic diseases in children, lack of pediatric rheumatology service and directed attention towards the communicable diseases in comparison to non-communicable rheumatic disorders [6][7][8]. The confusing presentation of musculoskeletal (MSK) symptoms -which are the primary features of rheumatic diseases -in other systemic disorders as metabolic, endocrine, neoplastic and infectious conditions is considered related too [3,[9][10]. Yemen is a developing country; thorough web search did not reveal any published PRDs registry in Yemen.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Challenges in the diagnosis and management of Pediatric Rheumatology in the developing world: Lessons from a newly established clinic in Yemen.

Dahman

2017

Sudan J Paed

View full text Add to dashboard Cite

Pediatric rheumatology is still considered a mysterious branch of pediatric medicine, especially among developing countries. Long-term consequences usually follow delayed diagnosis, referral, and management of rheumatic disorders. We aim to describe the clinical spectrum and the frequency of pediatric rheumatic diseases (PRDs) in AL-Mukalla hospital in Hadhramout province/Yemen. A case record retrospective study was conducted among all patients who attended the pediatric rheumatology clinic in Al-Mukalla hospital (from January 2010 to December 2016) with a musculoskeletal complaint or systemic symptoms suggestive of rheumatic disease. Data collected included: gender, address, age at the onset of symptoms, initial manifestations, the presence of complications, referral diagnosis, final diagnosis and the lag period before attending the rheumatology clinic. PRDs were present in 86% (37/43) of cases, 83.8% (31/37) were from Hadhramout province. Male to female ratio was 0.9:1 (Male: 18; Female: 19) and the commonest age group affected was (>9-12) years. The mean age at first presentation was 8.859 ± 4.11 years (four months-14 years). One year (0.13-98.4 months) was the median time before referral to the rheumatologist. About 70.3% of cases were referred from other specialists or peripheral hospitals. Joint swelling (54.1%) was the most common presentation and juvenile idiopathic arthritis (24.3%) was the commonest diagnosis. The discrepancy between the referral and the final diagnosis was noticed in 21(48.8%) cases. Only eight cases (18.6%) matched the final diagnosis. Two patients died with a mortality rate of 5.4%. Knowledge of the spectrum and incidence of PRDs will increase the awareness of specialists and general practitioners for early referral and diagnosis to avoid long-term sequels.

show abstract

Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…3. Many cases were primarily managed by either adult or pediatric orthopaedic surgeon before referral [5,9,24,31]. 7.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Challenges in the diagnosis and management of Pediatric Rheumatology in the developing world: Lessons from a newly established clinic in Yemen.

Dahman

2017

Sudan J Paed

View full text Add to dashboard Cite

show abstract

Different Patterns of Juvenile Idiopathic Arthritis in Zagazig University Hospitals Mohamed Abd-Elkader Almalky, Ehab Mahmoud Rasheed,

Almalky

Rasheed

Mortada

et al. 2021

The Egyptian Journal of Hospital Medicine

View full text Add to dashboard Cite

Background: Pediatric rheumatic diseases can cause considerable disease burden to children and their families. They are associated with the potential for physical disability, diminished quality of life and significant direct and indirect costs. Objective: We aimed to describe the clinical spectrum and the frequencies and different patterns of Juvenile idiopathic arthritis (JIA) in children in Zagazig University Hospitals. Patients and methods: A cross-sectional study included 68 cases with Juvenile idiopathic arthritis < 16 years. The study was conducted over two years from December 2017 to December 2019. Investigations as complete blood count, C reactive protein, antinuclear antibody (ANA), rheumatoid factor (RF), complement C3 & C4, creatine phosphokinase, and EMG. Management and treatment plans were achieved and data about the results were collected. Results: Most of patients diagnosed with rheumatological diseases were females. Oligoarticular JIA was the commonest subtype of JIA in our study followed by polyarticular then systemic onset type. NSAIDs was the commonest drug used by JIA patients followed by methotrexate then corticosteroids. Conclusion: Early diagnosis and effective management of these children is essential so that they can lead a normal or near normal life especially in patients with rheumatological diseases with chronic morbidity as JIA.

show abstract

Spectrum of paediatric rheumatologic disease: The Mumbai experience

Cited by 2 publications

References 13 publications

Challenges in the diagnosis and management of Pediatric Rheumatology in the developing world: Lessons from a newly established clinic in Yemen.

Challenges in the diagnosis and management of Pediatric Rheumatology in the developing world: Lessons from a newly established clinic in Yemen.

Different Patterns of Juvenile Idiopathic Arthritis in Zagazig University Hospitals Mohamed Abd-Elkader Almalky, Ehab Mahmoud Rasheed,

Contact Info

Product

Resources

About