Diagnostic Approach to Limp in Children

Shah, Aashit; Indra, Sean; Kannikeshwaran, Nirupama; Hartwig, Earl; Kamat, Deepak

doi:10.3928/00904481-20151112-01

Cited by 8 publications

(4 citation statements)

References 22 publications

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“…In contrast, several types of limping are associated with non-antalgic gait and most of them do not need urgent evaluation and treatment [ 5 , 6 ]. The cause of limping usually can be determined via history, physical examination and necessitous laboratory and imaging investigations [ 4 , 7 ]. Viral infections are a well-recognized cause of acute arthralgia and arthritis with a large number of causative agents.…”

Section: Introductionmentioning

confidence: 99%

Post SARS-CoV-2 infection reactive arthritis: a brief report of two pediatric cases

et al. 2021

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Background Although, preliminary reports of Severe Acute Respiratory Syndrome (SARS)-CoV-2 infection suggest that the infection causes a less severe illness in children, there is now growing evidence of other rare or even serious complications of disease. Case presentation During the recent COVID-19 pandemic in Kerman, Iran, two children (an 8 year-old boy and a 6 year-old girl) were referred to outpatient Clinic of Pediatric Rheumatology with complaints of limping. Both children had experienced fever and mild respiratory tract infection. At the beginning of the second week of infection, they developed joint effusion. They both tested positive for coronavirus infection and were therefore diagnosed with post Coronavirus reactive arthritis. Both children were treated successfully with rest and Non-Steroidal Anti-Inflammatory Drugs (NSAID). They did not have any medical problems in the two months fallow up. Conclusions These two cases suggest that COVID-19 may be rheumatogenic. Highlighting the need for awareness of physicians, especially pediatricians, regarding the pathogenesis margins of this virus, as late presentations are of great importance.

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Section: Introductionmentioning

confidence: 99%

Post SARS-CoV-2 infection reactive arthritis: a brief report of two pediatric cases

et al. 2021

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“…The main differential diagnosis that considered in a patient is determinative of necessitous laboratory and imaging evaluations (4,7). However, the viral infections are a well-recognized cause of acute arthralgia and arthritis with a large number of causative agents.…”

Section: Introductionmentioning

confidence: 99%

Post nCoV-2 limping Child: Report of two cases and a rapid Review

Sinaei

Pezeshki

Sinaei

et al. 2020

Preprint

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Background: Identification of the etiology of acute limping in children is challenging. Both benign and life- threatening disorders can present with limp. However, among atraumatic conditions, benign conditions including toxic synovitis and post infectious arthritis are the most common causes of this dilemma. Case Presentation: During the recent COVID-19 pandemic in Kerman, South East of Iran; two pediatric patients referred to the Rheumatology clinic with new onset gait disturbance. One 8 years old boy and the other 6 years old girl who presented with hip joint pain and limping. Both of them had joint effusion jackknife of mild respiratory symptoms and fever. Altogether, precise history taking and accurate physical examination, alongside radiological investigations and positive laboratory results for coronavirus infection emphasized the diagnosis of post Coronavirus arthritis. They treated with rest and Non-Steroidal Anti-Inflammatory Drugs (NSAID) successfully, and fallowed at least for one month later.Conclusions: Here, we described the first report of post n-CoV-2 arthritis in the world in two Iranian pediatric patients, who presented with limp. Contrary to preliminary phantasms, this may indicate that the Corona virus has some rheumatogenic specifications.

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“…Various etiologies have been proposed for limping in children, which can vary from medical emergencies such as septic arthritis to less important conditions such as transient synovitis (1,2). To distinguish the cause of limping, careful history taking, physical examination, and various laboratory and radiographic studies, based on the clinical findings are required.…”

Section: Introductionmentioning

confidence: 99%

“…To distinguish the cause of limping, careful history taking, physical examination, and various laboratory and radiographic studies, based on the clinical findings are required. For the evaluation of gait disturbances, physicians usually focus on the local signs and symptoms, while systemic or constitutional symptoms are important, as well (1,2).…”

Section: Introductionmentioning

confidence: 99%

An Unusual Cause of Limping in Childhood: Lessons from H1N1 Influenza Case Series

Sedighi

Nouri

Sadrosadat

2016

Arch Clin Infect Dis

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Introduction: Identification of the etiology of limping and gait disturbances in children necessitates accurate physical examination and history taking. Although serious conditions such as septic arthritis and Guillain-Barre syndrome are usually prioritized in the differential diagnosis of limping, benign disorders such as benign acute childhood myositis (BACM) should not be discarded. Case Presentation: During the recent H1N1 influenza pandemic in the fall and winter of 2015 -2016 in Hamadan, Iran, three school children presented to our clinic with limping and abnormal gait. Precise history taking, in addition to accurate physical examination and simple laboratory tests, confirmed the diagnosis of myositis. The patients were discharged soon after complete recovery.

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Diagnostic Approach to Limp in Children

Cited by 8 publications

References 22 publications

Post SARS-CoV-2 infection reactive arthritis: a brief report of two pediatric cases

Post SARS-CoV-2 infection reactive arthritis: a brief report of two pediatric cases

Post nCoV-2 limping Child: Report of two cases and a rapid Review

An Unusual Cause of Limping in Childhood: Lessons from H1N1 Influenza Case Series

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