A family history of psoriatic arthritis may be present. Signs and symptoms are similar to those in adults. SLE is an episodic disease with a history of symptoms that come and go. Sun protection may be important for children with lupus. The child's physician may recommend sun protective lotions or sun protective clothing to provide protection so that children may participate in outdoor daytime activities.
Vasculitis can be both a primary childhood disease and a feature of other syndromes.
Polyarteritis nodosa is a vasculitis of small and medium-sized blood vessels. Juvenile scleroderma is rare in children but includes both localized and systemic disease. Localized scleroderma includes several types of skin lesions Systemic scleroderma is similar to that experienced by adults and includes Raynaud's phenomenon and skin, musculoskeletal, gastrointestinal, pulmonary, cardiac or renal involvement. Raynaud's phenomenon is often a symptom of connective tissue diseases, especially scleroderma. Sjogren's syndrome is often called Sicca syndrome if it is a symptom of connective tissue diseases.