Sedimentation rate almost always elevated, but CBC may be normal. Disk space may be narrowed on radiograph. Bone scan will show inflammatory focus. Treatment is generally supportive with anti-inflammatories but may need antibiotics. Orthopedic consultation recommended.
Juvenile rheumatoid arthritis.
Defined as presentation of rheumatoid arthritis before 16 years of age. See Chapter 6 for course. See Chapter 6 for work-up. A streptococcal infection and minor manifestations such as fever, elevated ESR, elevated WBC count. Sickle cell crisis in appropriate populations.