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Pediatric Rheumatology for the Adult Rheumatologist

Wagner-Weiner, Linda MD

Section Editor(s): Katz, Robert S. MD; Block, Joel A. MD

JCR: Journal of Clinical Rheumatology: April 2008 - Volume 14 - Issue 2 - p 109-119
doi: 10.1097/RHU.0b013e31816b4460
Rheumatology Grand Rounds at Rush

Although many manifestations of rheumatic diseases in children are similar to those in adults, there exist important differences. These include variations in presentation and complications, differential diagnoses to consider, medication side effects, impact on growth, and psychosocial issues. As there is a US and worldwide shortage of pediatric rheumatologists, many children with rheumatic illnesses are cared for by other physicians, especially by adult rheumatologists. This article is aimed toward educating the adult rheumatologist in 4 key areas of childhood rheumatic disease: juvenile idiopathic arthritis, other rheumatic and inflammatory illnesses seen primarily in the pediatric population, differences in rheumatic diseases common to both adults and children, and psychosocial issues.

Some key aspects forr adult rheumatologists treating children can include different behaviors of some diseases in children, psychosocial issues, and some diseases less often seen in adults.

From Rheumatology Grand Rounds at Rush University Medical Center, Chicago, IL USA. Editors: Robert S. Katz, MD, and Joel A. Block,MD.

From the Pritzker School of Medicine, University of Chicago, MD Comer Children’s Hospital, Chicago, IL.

Reprints: Dr. Linda Wagner-Weiner, MD, Univerdity of Chicago Hospitals, Section of Pediatric Rheumatology, 5841 S., Maryland Ave, MC 5044, Chicago, IL 60637.

© 2008 Lippincott Williams & Wilkins, Inc.