Introduction

The practice of Pediatric Rheumatology involves the diagnosis and treatment of autoimmune and autoinflammatory conditions that involve many organ systems and present with a wide range of clinical manifestations. The field emphasizes the clinical history and physical exam because a definitive diagnostic test is not available for most rheumatologic conditions. Many patients are admitted to the hospital for symptoms prior to a diagnosis, or in some cases, require inpatient hospitalization for disease flares. You may also be exposed to the field of rheumatology in an outpatient elective, as most patients with rheumatologic disease are treated as outpatients. In this rotation guide, we focus on the approach to the diagnosis and management of common pediatric rheumatologic diseases as well as select noninflammatory musculoskeletal pain conditions.

The topics in this rotation guide are organized as follows:

• Rheumatologic Clinical Assessment/Diagnostic Testing

• Systemic Lupus Erythematosus

• Other Autoimmune Diseases

• • Systemic Sclerosis

  • Sjögren Syndrome

• Juvenile Dermatomyositis

• Arthritides

• • Juvenile Idiopathic Arthritis

  • Reactive Arthritis

• Kawasaki Disease

• Other Selected Vasculitides

• • Henoch-Schönlein Purpura

  • ANCA-Associated Vasculitis

  • Polyarteritis Nodosa

  • Takayasu Arteritis

• Noninflammatory Musculoskeletal Pain

• • Joint Hypermobility

  • Overuse Injuries

  • Legg-Calvé-Perthes Disease

  • Slipped Capital Femoral Epiphysis

  • Benign Idiopathic Nocturnal Pains of Childhood

  • Amplified Musculoskeletal Pain Syndrome