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Conditions we treat

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)

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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

Chronic vasculitis

  • 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 vasulitis

Other

  • 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

Major pain syndrome

  • Erythromelalgia
  • Fibromyalgia
  • Reflex sympathetic dystrophy and complex regional pain syndromes