Portfolio of services

The Pediatric Rheumatology Unit attends interconsultations of other specialties for control of systemic treatment, side effects and others.

Usual complementary explorations

• Laboratory: general blood analysis, inflammation markers, autoantibodies, genetic study. Urinary studies.
• Radiology:
  • Simple radiology
  • CT, NMR
  • Joint ultrasound
  • Nuclear medicine
  • Bone densitometry (CETIR)
• Other explorations:
  • Capillaryoscopy (adults)
  • Biopsies
    • Renal by interventional radiology
    • Skin for dermatology
    • Other biopsies, for surgery

Usual therapeutic techniques

• Intra-articular infiltrations with corticosteroids:
  • In older children and large joints are performed at the Day Hospital, on arranged days. If necessary, under sedation with Kalinox® or midazolam.
  • In young children or smaller joints, they can be performed on a scheduled basis at the Outpatient Surgical Center (CQA).
     
• Intravenous systemic treatments. Day Hospital:

• Treatment with bisphosphonates (intravenous pamidronate) in osteoporosis and imperfect osteogenesis
• Endogenous corticosteroid bolus and cyclophosphamide bolus
• Endovenous immunoglobulin
• Intravenous biological drugs (tocilizumab, infliximab, rituximab ...)
• Instruction of parents in the administration of subcutaneous treatments.

External consultations. Patient monitoring

Patients are followed up in outpatient clinics whenever possible, performing treatment at home. In those diseases that require it either for diagnosis or stabilization or for certain treatments, hospital admissions are made to the pediatric hospitalization plant. In any case, those intravenous treatments that can be performed without hospital admission, are performed in thePediatrics Day Hospital.

Psychological support

Most patients who are followed up in the Pediatric Rheumatology Consultation suffer from a chronic illness. That is why specialized psychological support is available, in cases where it is deemed appropriate.

Pathologies attended to

Arthritis:

• Juvenile idiopathic arthritis
• Post-infectious arthritis
  • Reactive arthritis
  • Rheumatic fever
  • Post-streptococcal arthritis
• Arthritis associated with inflammatory bowel disease

Autoimmune diseases:

• Systemic lupus erythematosus
• Juvenile dermatomyositis
• Scleroderma (systemic and cutaneous)
• Mixed connective tissue disease
• Sjöegren's syndrome

Vasculitis:

• Schönlein-Henoch purple
• Kawasaki disease
• PAN (cutaneous and systemic)
• Wegener's disease
• Microscopic polyangiitis
• Primary vasculitis of the Central Nervous System.
• Behçet's disease

Autoinflammatory diseases:

• Periodic fevers of genetic origin
• Blue Syndrome, Sarcoidosis of early onset
• PFAPA syndrome
• Unfiltered recurring February pictures

Idiopathic pain syndromes:

• Fibromyalgia, chronic fatigue syndromes, and amplified pain syndromes
• Complex regional pain syndrome
• Nonspecific arthralgias

Diseases of the connective tissue:

• Hypermobility syndrome
• Ehler-Danlos, Marfan
• Imperfect osteogenesis

Osteoporosis

Other diseases:

• Raynaud's phenomenon
• Erythromelalgia
• Recurrent aphthosis
• Erythema nodosum
• Lymphedema