Considerations for the Child with Joint Swelling, Limited Motion, and Pain
- synovial fluid exam
- polyarthralgia:
- polyarticular JRA (symmetric polyarthralgia);
- pauciarticular
- leukemia
- hemophilia
- lyme disease
- acute rheumatic fever
- septic arthritis
- incidious / chronic presentation of joint arthralgias:
- periarticular tumor
- oseoid osteoma
- pauciarticular JRA
- polyarticular JRA
- seronegative arthritides
- osteochondroses (LCP, osgood-schlatter dz)
- slipped capital femoral epiphysis
- lyme disease
- tuberculosis
- toxic synovitis
- reflex neurovascular dystrophy
- hemophilia
- pigmented villonodular synovitis
- ehlers-danlos syndrome
- acute / toxic presentation of joint arthralgias