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 Vol. 8 No. 5, November 2002
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AAP Grand Rounds 8:51 (2002)
© 2002 American Academy of Pediatrics

RHEUMATOLOGY

Joint Swelling, But Not Musculoskeletal Pain, Predicts JRA

Source: McGhee, JL, Burks FN, Sheckels JL, et al. Identifying children with chronic arthritis based on chief complaints: absence of predictive value for musculoskeletal pain as an indicator of rheumatic disease in children. Pediatrics. 2002;110: 354–359.[Abstract/Free Full Text]

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By using a retrospective chart review, these University of Oklahoma researchers examined the predictive value of the chief complaint in diagnosing chronic arthritis. Between April 1998 and July 2001, 482 patients were seen in this clinic for initial pediatric rheumatology consultation. Sixty-eight patients who were referred by other rheumatologists were excluded from the review. Musculoskeletal pain was the most common chief complaint; 111 patients presented with pain as the only complaint and 115 with pain as part of a constellation of complaints. Of the 226 patients with musculoskeletal pain, . . . [Full Text of this Article]

Susan Ballinger, MD, FAAP
Pediatric Rheumatology, Riley Hospital for Children, Indianapolis, IN

 



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