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Arch Pediatr. 2012 Dec;19(12):1374-8. doi: 10.1016/j.arcped.2012.08.026. Epub 2012 Sep 27.

[Management of monoarthritis in children].

[Article in French]

Author information

  • 1Service de pédiatrie générale, rhumatologie pédiatrique, Centre national de référence des maladies auto-inflammatoires, CEREMAI, université de Paris sud, CHU Bicêtre, AP-HP, 78, rue du Général-Leclerc, 94270 Le Kremlin-Bicêtre, France. caroline.galeotti@gmail.com

Abstract

Joint swelling is common in childhood. The pattern of presentation, the duration and the location may reveal sometimes monoarthritis. A detailed clinical history, thorough clinical examination, and sometimes complementary tests are needed to reach the correct diagnosis. The single most important investigation in a child with acute monoarthritis is joint aspiration to rule out septic arthritis that may destroy the joint within few hours. Serum inflammatory markers, antinuclear antibody, tuberculosis testing, and imaging (in specific cases) play an important role in making the diagnosis. This article presents the clinical approach to the diagnosis of monoarthritis as well as the different causes of monoarthritis in children.

Copyright © 2012. Published by Elsevier SAS.

PMID:
23021629
[PubMed - indexed for MEDLINE]
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