International Journal of Contemporary Medicine

  • Year: 2018
  • Volume: 6
  • Issue: 2

Spectrum of paediatric rheumatic diseases: An experience in a tertiary care hospital

  • Author:
  • Jeetendra Mahato1, Anand Kumar Gupta2,, Jayant Prakash3, Raju Kumar1, Rakesh Kumar4, Rizwan Ahmar2
  • Total Page Count: 6
  • Page Number: 13 to 18

1Senior Resident, Department of Paediatrics, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India

2Assistant Professor, Department of Paediatrics, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India

3Additional Professor, Department of Paediatrics, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India

4Associate Professor, Department of Paediatrics, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India

*Corresponding author: Dr. Anand Kumar Gupta, Assistant Professor, Department of Paediatrics, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India. Mob-8544403024 E-mail-akganand99@gmail.com

Online published on 16 August, 2018.

Abstract

The Pediatric Rheumatic Diseases (PRDs) is not a rare disease now a day and its importance increasing globally day by day. These diseases are considered as important causes of disability, chronic morbidity and school absenteeism. It is recognized that early recognition and diagnosis as well as timely intervention can significantly improve the outcome of PRDs.

To estimate the spectrum of PRDs and to compare the profile of JIA with other studies were done across different regions of the world.

This Retrospective study was done in the department of pediatrics, Indira Gandhi Institute of Medical Sciences Sheikhpura, Patna on children attending outpatient department and admitted in inpatient department during the study period from April 2015-December 2017. All the patients fulfilling the ILAR classification criteria of Juvenile idiopathic arthritis (JIA), ACR classification criteria of systemic lupus erythematosus (SLE), PReS-EULAR-PRINTO classification criteria of childhood vasculitis Bohan A, Peter JB Classification criteria for juvenile dermatomyositis (JDM) and preliminary criteria for the classification of systemic sclerosis(SS)were enrolled in this study.

Out of 270 patients with PRDs majority of patients had JIA (75%), which was followed by SLE (12%). Among childhood vasculitis, Henoch Schonlein purpura (HSP) was predominant (5%) followed by Polyarteritis nodosa (1.2%) and Kawasaki Disease (0.7%). Juvenile dermatomyositis (JDM), systemic sclerosis (SS) and rheumatic fever was also found in 1.5%, 1.4% and 3% cases respectively. Polyarticular JIA was the commonest type (40%) in this series, followed by oligoarticular, enthesitis related arthritis (ERA) and systemic onset JIA.

JIA was the commonest among the Pediatric rheumatic diseases followed by SLE and childhood vasculitis.

Keywords

PRDs, JIA, SLE, Vasculitis