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Challenging Pain in Knee and Ankle

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Abstract

  • Enthesitis-related arthritis (ERA) necessitates presence of arthritis and/or enthesitis for at least 6 weeks in a child under 16 years of age

  • In the presence of enthesitis or arthritis alone, at least two of the following should be present to make a diagnosis of ERA: sacroiliac tenderness or inflammatory spinal pain, HLA-B27 positivity, onset of arthritis in boys aged >6 years, anterior uveitis associated with pain, redness, or photophobia, or a family history of HLA-B27-associated disease

  • NSAIDs are traditionally used as initial treatment of ERA

  • Methotrexate and biologic agents are reserved for patients who are refractory to NSAIDS

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Jandus, P. (2020). Challenging Pain in Knee and Ankle. In: Rahmani, F., Rezaei, N. (eds) Pediatric Autoimmunity and Transplantation. Springer, Cham. https://doi.org/10.1007/978-3-030-26280-8_5

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  • DOI: https://doi.org/10.1007/978-3-030-26280-8_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-26279-2

  • Online ISBN: 978-3-030-26280-8

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