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When to refer to paediatric rheumatology

Referral to paediatric rheumatology is warranted in the context of:

  • suspicion of inflammatory disease (joint or muscle) 
  • suspicion of multisystem disease (eg rash suggestive of vasculitis, Raynaud's, uveitis, fever of no apparent cause)
  • limp that is not resolving 
  • swollen joint(s) 
  • clumsy child
  • back pain 
  • limb pain 
  • joint pain that is not resolving 
  • school avoidance due to musculoskeletal pain 
  • red flags 

Please do not delay - if concerned refer !

Early diagnosis and starting treatment does improve clinical outcomes 


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