By Thomas J.A. Lehman
Within the usa by myself, approximately 300,000 teenagers be afflicted by a few type of arthritis or rheumatic ailment, and hundreds of thousands extra are susceptible to constructing the sort of ailments. during this marvelously down-to-earth consultant, Thomas Lehman--the head of 1 of the prime pediatric rheumatology courses within the world--offers a gold mine of professional suggestion necessary for pediatricians who are looking to turn into more adept in figuring out, diagnosing, and treating rheumatic affliction in young children. Dr. Lehman is helping pediatricians interpret their sufferers' court cases and be sure no matter if and what form of clinical realization is required, explaining what indicators to appear for, what inquiries to ask, what assessments to run, and what to anticipate while remedy starts. utilizing illustrative anecdotes, this booklet sheds gentle on a variety of rheumatic disorders--including juvenile arthritis, Lyme ailment, lupus, Kawasaki affliction, fibromyalgia, and persistent fatigue syndrome--and it addresses such the most important issues as drug protection, genetic issues, the aptitude hazards to kids posed by means of medicinal drugs, the trouble of kin lifestyles whilst a baby has a prolonged ailment, and lots more and plenty extra. A Clinician's advisor to Rheumatic illnesses in young children captures the services of a committed doctor with over thirty years of hands-on adventure aiding youngsters lead common, chuffed lives. it is going to support pediatricians ensure that sufferers in achieving the very best end result.
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Extra info for A Clinician's Guide to Rheumatic Diseases in Children
Children with conditions that are known to damage the spine should be carefully monitored. Parents of children with poor bone formation or of children who are taking medications that can damage the bones need to be reminded that their children should be watched carefully for spine problems. If a child has been diagnosed with an infection or a tumor in or around the spine, the parents should be aware of the need to monitor the spine as the child grows. Treatment All children with kyphosis need to be investigated by an orthopedist with appropriate X-rays to ﬁnd out why they have this condition.
It will come on with activities and clear more slowly. Most knee pain is initially thought to be the result of an injury. If we do not remember having seen a fall, we assume the child must have twisted it. If a child is complaining of knee pain, there are several important questions to answer: • Did the pain begin immediately after an injury? Or did the parents notice that the child was in pain and then have to “remember” the injury? • Does the knee hurt all the time? ◦ Does it hurt only in the middle of the night?
He had seen a dermatologist, who told him he had telangiectasia. This is a common ﬁnding and is nothing to be worried about. In talking to George, I also learned that he had seen a gastroenterologist because food sometimes got stuck when he swallowed. He had been told that his esophagus was weak. When I examined him, his ﬁngers were long and thin, and there were little sores on the ﬁngertips. Careful examination also revealed dilated blood vessels in his nail folds (you need a magnifying glass to see this—see Fig.
A Clinician's Guide to Rheumatic Diseases in Children by Thomas J.A. Lehman