Our Paediatric Rheumatology service is involved in the diagnosis and management of the following conditions (as stipulated within the NHS England service specification for Paediatric Rheumatology)
Connective tissue diseases
- Systemic lupus erythematosus
- Juvenile dermatomyositis
- Mixed connective tissue diseases
- Scleroderma – systemic and localised/linear morphoea
- Sjogren’s syndrome
Chronic inflammatory arthritis, diagnostic evaluation and long-term management to include:
- JIA and its subtypes (i.e. oligo articular (persistent or extended), Polyarticular (rheumatoid factor positive or negative) JIA, Systemic onset JIA
- Psoriatic and enthesitis related arthritis
- Inflammatory diseases
- Polyarteritis nodosa
- Atypical Kawasaki disease
- Atypical Henoch Schonlein purpura
- Wegner’s granulomatosis
- Behcet’s syndrome
- Takayasu’s arteritis
- Hypocomplementemic vasculitis or hypersensitivity vasculitis
- Cerebral vasculitis
- Post-infectious vasculitis
- Anti-phospholipid syndromes, Acute rheumatic fever, Sarcoidosis
- Lyme disease with arthritis
- Chronic recurrent multifocal osteomyelitis, Auto-inflammatory syndromes
- Post-infectious arthritis, Relapsing polychondritis, Uveitis
- Osteoporosis
- Patients receiving immunosuppressive, cytotoxic or biologic therapies
- Familial periodic fever syndromes
- Reactive (post infectious) arthritis
Genetic syndromes associated with stiff joints or severe hypermobility
- Ehlers Danlos
- Marfan’s syndrome
Joint disease associated with other medical diagnoses:
- Inflammatory bowel disease
- Cystic fibrosis
- Complex cyanotic heart disease
- Down’s syndrome
- Immunodeficiency
- Neoplasm
- Infectious disease
- Endocrine disorders
- Genetic metabolic disease
- Post transplantation
- Arthritis associated with birth defects
- Erythromelalgia
- Fibromyalgia
- Reflex sympathetic dystrophy and complex regional pain syndromes