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Pediatric Rheumatology,  An Issue of Pediatric Clinics - E-Book

Pediatric Rheumatology, An Issue of Pediatric Clinics - E-Book

Ronald M. Laxer | David D. Sherry

(2012)

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Book Details

Abstract

The Guest Editors have assembled international experts in rheumatology to present an update to pediatricians. The basics are covered, including an article on the principles of inflammation in the child and one on the approach to the child with joint inflammation. From there, specifics are presented in the following articles: Laboratory Testing in Rheumatology; Rheumatologic Emergencies in newborns, children and adolescents; Juvenile Idiopathic Arthritis; Macrophage Activation Syndrome; Systemic Lupus Erythematosus; Idiopathic Inflammatory Myopathies in Childhood; Scleroderma; Vasculitis; Kawasaki disease; Autoinflammatory diseases; Approach to the patient with non-inflammatory  musculoskeletal pain; and Immune deficiency diseases with rheumatic manifestations.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Pediatric Clinics of North America i
Copyright Page ii
Table of Contents vii
Contributors v
Preface: Pediatric Rheumatology xiii
Chapter 1. Principles of Inflammation for the Pediatrician 225
THE IMMUNE SYSTEM: INNATE AND ADAPTIVE IMMUNITY 225
INDUCTION OF THE IMMUNE RESPONSE: HOW CELLS OF THE INNATE SYSTEM RECOGNIZE NONSELF PROTEINS AND BECOME ACTIVATED 226
ROLE OF THE INNATE SYSTEM IN THE INITIATION OF THE INFLAMMATORY RESPONSE 229
ACUTE INFLAMMATION 232
ROLE OF THE ADAPTIVE IMMUNITY IN PERPETUATING THE INFLAMMATORY RESPONSE 234
REFERENCES 241
Chapter 2. Approach to the Child with Joint Inflammation 245
MONOARTHRITIS 245
POLYARTHRITIS 255
SUMMARY 259
REFERENCES 260
Chapter 3. Laboratory Testing in Pediatric Rheumatology 263
CBC 263
ACUTE PHASE REACTANTS 265
TESTS SPECIFIC TO RHEUMATOLOGIC DISEASES 266
LABORATORY TESTS FREQUENTLY USED IN RHEUMATOLOGY 273
GENETIC TESTS USED IN RHEUMATOLOGY 276
SUMMARY 278
REFERENCES 278
Chapter 4. Rheumatologic Emergencies in Newborns, Children,and Adolescents 285
THE FETUS OR NEONATE WITH COMPLETE HEART BLOCK 286
THE FEBRILE CHILD WITH PANCYTOPENIA 287
THE CHILD WITH RESPIRATORY DISTRESS AND RENAL FAILURE 291
THE CHILD WITH MULTIPLE ORGAN DYSFUNCTION WITH OR WITHOUT OBVIOUS THROMBOSIS 293
THE CHILD WITH PERICARDIAL TAMPONADE 296
REFERENCES 297
Chapter 5. Juvenile Idiopathic Arthritis 301
EPIDEMIOLOGY 302
CAUSE AND PATHOGENESIS 302
DIAGNOSIS AND CLASSIFICATION 303
CLINICAL MANIFESTATIONS OF JIA 303
OLIGOARTICULAR JIA 303
POLYARTICULAR JIA 305
sJIA 306
ENTHESITIS-RELATED JIA 307
PsJIA 308
COMPLICATIONS OF JIA 308
TREATMENT 312
NONPHARMACOLOGIC THERAPY 313
PHARMACOLOGIC THERAPY 313
CORTICOSTEROIDS 314
BIOLOGIC AGENTS 316
TUMOR NECROSIS FACTOR α INHIBITORS 316
IL INHIBITORS 318
T-CELL AND B-CELL TARGETED THERAPY 319
ADVERSE EFFECTS OF BIOLOGIC AGENTS 320
SUMMARY 321
REFERENCES 321
Chapter 6. Making Sense of the Cytokine Storm: A Conceptual Framework for Understanding, Diagnosing, and Treating Hemophagocytic Syndromes 329
OBJECTIVES 329
THE FINAL COMMON PATHWAY 329
CAUSES 331
DISTINGUISHING CSSs 337
CAUSE-BASED TREATMENT 338
SUMMARY 341
REFERENCES 341
Chapter 7. Systemic Lupus Erythematosus in Children and Adolescents 345
EPIDEMIOLOGY 345
CLASSIFICATION AND DIAGNOSIS OF cSLE 346
CLINICAL FEATURES 346
IS IT SLE? 355
COMPLICATIONS 356
TREATMENT 357
ADOLESCENT ISSUES TO CONSIDER FOR OPTIMAL DISEASE MANAGEMENT 358
LONG-TERM OUTLOOK 359
SUMMARY 360
REFERENCES 360
Chapter 8. Idiopathic Inflammatory Myopathies in Childhood: Current Concepts 365
CLINICAL PRESENTATION AND EVALUATION 365
DIFFERENTIAL DIAGNOSIS 369
INVESTIGATION 371
THERAPY 373
PROGNOSIS AND OUTCOME 374
SUMMARY 375
REFERENCES 376
Chapter 9. Pediatric Scleroderma: Systemic or Localized Forms 381
PEDIATRIC SCLERODERMA 381
SYSTEMIC SCLEROSIS 382
LOCALIZED SCLERODERMA 388
REFERENCES 400
Chapter 10. Pediatric Vasculitis 407
DIAGNOSIS 407
CLASSIFICATION 408
EPIDEMIOLOGY AND PATHOGENESIS 408
SUMMARY 420
REFERENCES 420
Chapter 11. Kawasaki Disease 425
HISTORICAL PERSPECTIVES 425
EPIDEMIOLOGY 425
CAUSE 426
CLINICAL, LABORATORY, AND CARDIAC FEATURES 427
TREATMENT 434
LONG-TERM 437
SUMMARY 438
REFERENCES 438
Chapter 12. Autoinflammatory Syndromes 447
THE INNATE IMMUNE SYSTEM AS IT RELATES TO THE PATHOGENESIS OF AUTOINFLAMMATORY SYNDROMES 450
FAMILIAL MEDITERRANEAN FEVER 450
HYPERIMMUNOGLOBULINEMIA D WITH PERIODIC FEVER SYNDROME 457
DEFICIENCY OF THE IL-1 RECEPTOR ANTAGONIST (DIRA) 459
DEFICIENCY OF IL-36 RECEPTOR ANTAGONIST (DITRA): FAMILIAL GENERALIZED PUSTULAR PSORIASIS 459
THE TNF-RECEPTOR–ASSOCIATED PERIODIC SYNDROME 460
THE CRYOPYRIN-ASSOCIATED PERIODIC SYNDROMES 461
FAMILIAL COLD AUTOINFLAMMATORY SYNDROME II RELATEDTO MUTATIONS IN THE NALP12 GENE 463
PYOGENIC STERILE ARTHRITIS, PYODERMA GANGRENOSUM, ACNE SYNDROME 463
PERIODIC FEVER, APHTHOUS STOMATITIS, PHARYNGITIS, ADENITIS SYNDROME 464
CHRONIC RECURRENT MULTIFOCAL OSTEOMYELITIS 465
THE OUTCOME OF PATIENTS WITH UNDIAGNOSED NONINFECTIOUS RECURRENT FEVER 465
SUMMARY 465
ACKNOWLEDGMENTS 466
REFERENCES 466
Chapter 13. Approach to the Patient with Noninflammatory Musculoskeletal Pain 471
BENIGN LIMB PAIN OF CHILDHOOD 471
MALIGNANCY 474
HYPERMOBILITY SYNDROMES 476
OVERUSE SYNDROMES (OSTEOCHONDROSES) AND SKELETAL DEFECTS 478
AMPLIFIED MUSCULOSKELETAL PAIN SYNDROMES 481
REFERENCES 489
Chapter 14. Immunodeficiency Diseases with Rheumatic Manifestations 493
PREVALENCE OF PRIMARY IMMUNODEFICIENCY DISORDERS 493
THE 4 MAJOR COMPARTMENTS OF THE IMMUNE SYSTEM 494
IMMUNODEFICIENCIES BY COMPARTMENT 495
OVERALL DIAGNOSTIC APPROACH TO IMMUNODEFICIENCY DISORDERS 504
SUMMARY 505
REFERENCES 505
Index 509