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 

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Prolonged or Recurrent Fever 

• Periodic Fever Syndrome or Autoinflammatory Disorder 

• Kikuchi Disease

• Kimura Disease 

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

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Unexplained chronic musculoskeletal pain

• Amplification pain syndrome

• Hypermobility Syndrome

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

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Unexplained rash 

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Rheumatology Services​

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• 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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