Approach to a child with monoarthritis
Publication Type:Journal Article
Source:Indian Journal of Pediatrics, Volume 77, Number 9, p.997-1004 (2010)
Keywords:Acute Disease, acute monarthritis, adolescent, antibiotic agent, Arthritis, Arthrography, bacterial arthritis, blood cell count, Blood Chemical Analysis, bone radiography, child, chronic disease, chronic monarthritis, clinical examination, conference paper, coxitis, debridement, Diagnosis, Differential, differential diagnosis, disease course, female, hemarthrosis, hematologic malignancy, human, Humans, India, Infectious, joint aspiration, juvenile rheumatoid arthritis, male, monarthritis, nonsteroid antiinflammatory agent, oligoarticular juvenile idiopathic arthritis, Pain Measurement, physical examination, pigmented villonodular synovitis, post streptococcal reactive arthritis, Preschool, reactive arthritis, rheumatic fever, Rheumatoid, risk factor, steroid, synovectomy, synovial fluid, Tomography, triamcinolone acetonide, triamcinolone hexacetonide, tuberculous arthritis, X-Ray Computed
Arthritis in childhood is common. The pattern, presentation and duration of arthritis help differentiate between the various possible diagnoses. When only one joint is involved, i.e., monoarthritis, it may be difficult to make a diagnosis as there are many possibilities both acute and chronic in nature. A detailed history and clinical examination is important to reach a correct diagnosis and the single most important investigation when a child presents acutely is a joint aspiration to rule out septic arthritis that may destroy the joint in hours. Inflammatory markers, antinuclear antibody testing, test for tuberculosis and imaging (in specific cases) play an important role in the diagnosis of a child that presents with a chronic monoarthritis. In this article we provide a clinical approach to the diagnosis of monoarthritis in a child. © 2010 Dr. K C Chaudhuri Foundation.
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