Chronic arthritis in children

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A 6 year old child came with a h/o 1 year R knee monoarthritis. Had shown many Orthopedic surgeons & Paediatricians. Progressively developed R knee fixed flexion deformity and required to be carried upstairs to her classroom on the top floor everyday . She restricted fluids and diet to avoid needing to ambulate to the toilets and has early morning stiffness. Juvenile Idiopathic Arthritis can cause considerable deformity if not appropriately treated. After intra articular steroids one can see the improvement within 24 hours itself. DMARDs and physiotherapy are the next step
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Tags: Rheumatology