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Paediatric Rheumatology

by Dr. Justin Tan Hung Tiong

Arthritis, including Juvenile Idiopathic Arthritis, Reactive Arthritis, arthritis secondary to other causes


Connective Tissue Disease 

  • Systemic Lupus Erythematosus

  • Mixed Connective Tissue Disease 

  • Undifferentiated Connective Tissue Disease 

  • Scleroderma (localized and systemic form)

  • Juvenile Dermatomyositis, polymyositis, idiopathic inflammatory myopathies

  • Neonatal Lupus Erythematosus  

  • Sjogren’s Syndrome


Systemic Vasculitis 

  • Kawasaki Disease

  • Henoch Schonlein Purpura

  • Takayasu Arteritis 

  • Polyarteritis Nodosa 

  • Behcet’s Disease 

  • Other vasculitis i.e. granulomatosis with polyangiitis, Microscopic polyangiitis 

Prolonged or Recurrent Fever 

  • Periodic Fever Syndrome or Autoinflammatory Disorder 

  • Kikuchi Disease

  • Kimura Disease 

Inflammatory or autoimmune disorders of the eye, brain, liver, blood etc.

Unexplained chronic musculoskeletal pain

  • Amplification pain syndrome

  • Hypermobility Syndrome

Unexplained systemic symptoms i.e. loss of appetite, fatigue, loss of weight

Unexplained rash 

Rheumatology Services​

  • Comprehensive evaluation, diagnosis and management of paediatric rheumatic conditions 

  • Immunosuppressive therapy including biologic treatment 

  • Arthrocenthesis and Intra-articular injection 

  • Paediatric Musculoskeletal Ultrasound for diagnostic and therapeutic purposes 

  • Multidisciplinary management with physiotherapist and occupational therapists 

  • Co-management with other relevant subspecialties

       i.e. gastroenterology, ophthalmology, nephrology, dermatology

  • Public education to increase public awareness about paediatric rheumatic conditions 

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