Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 247.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\29545661
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Sudan+J+Paediatr
2017 ; 17
(2
): 21-29
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Challenges in the diagnosis and management of Pediatric Rheumatology in the
developing world: Lessons from a newly established clinic in Yemen
#MMPMID29545661
Dahman HAB
Sudan J Paediatr
2017[]; 17
(2
): 21-29
PMID29545661
show ga
Pediatric rheumatology is still considered a mysterious branch of pediatric
medicine, especially among developing countries. Long-term consequences usually
follow delayed diagnosis, referral, and management of rheumatic disorders. We aim
to describe the clinical spectrum and the frequency of pediatric rheumatic
diseases (PRDs) in AL-Mukalla hospital in Hadhramout province/Yemen. A case
record retrospective study was conducted among all patients who attended the
pediatric rheumatology clinic in Al-Mukalla hospital (from January 2010 to
December 2016) with a musculoskeletal complaint or systemic symptoms suggestive
of rheumatic disease. Data collected included: gender, address, age at the onset
of symptoms, initial manifestations, the presence of complications, referral
diagnosis, final diagnosis and the lag period before attending the rheumatology
clinic. PRDs were present in 86% (37/43) of cases, 83.8% (31/37) were from
Hadhramout province. Male to female ratio was 0.9:1 (Male: 18; Female: 19) and
the commonest age group affected was (>9-12) years. The mean age at first
presentation was 8.859 ± 4.11 years (four months-14 years). One year (0.13-98.4
months) was the median time before referral to the rheumatologist. About 70.3% of
cases were referred from other specialists or peripheral hospitals. Joint
swelling (54.1%) was the most common presentation and juvenile idiopathic
arthritis (24.3%) was the commonest diagnosis. The discrepancy between the
referral and the final diagnosis was noticed in 21(48.8%) cases. Only eight cases
(18.6%) matched the final diagnosis. Two patients died with a mortality rate of
5.4%. Knowledge of the spectrum and incidence of PRDs will increase the awareness
of specialists and general practitioners for early referral and diagnosis to
avoid long-term sequels.