Profile of new referrals to a single pediatric rheumatology center in Turkey
- 40 Downloads
To describe the demographic characteristics and clinical features of patients referred to a pediatric rheumatology outpatient clinic in Turkey and to compare the final diagnoses with the previous literature data. All new patients referred to pediatric rheumatology outpatient clinic of Kanuni Sultan Süleyman Research and Training Hospital between March 2018 and March 2019 were enrolled to the study. Demographic data, referral patterns, disease related features, physical examination findings and final diagnoses of new referrals were collected prospectively. A total of 2982 new referrals were evaluated in 1-year period. Among them 1561 (52%) had a diagnosis of a rheumatic disease. The frequencies of most common rheumatic diseases were; periodic fever syndromes (47.3%), juvenile idiopathic arthritis (18%) and vasculitis (14.4%), respectively. Non-rheumatic conditions were diagnosed in 1243 patients, among them orthopedic/mechanic problems (27.4%) were the most frequent ones followed by vitamin D deficiency (17.5%) and dermatological problems (9.8%). Patients with non-rheumatic conditions comprised a large part of the pediatric rheumatology outpatient clinic. National registries are required to establish the frequencies of pediatric rheumatic diseases in Turkey.
KeywordsJuvenile idiopathic arthritis Pediatric rheumatology Periodic fever syndromes Rheumatic diseases
ŞGK conceptualized and designed the study, drafted the initial manuscript, and had full access to all the data in the study; HES designed the study, conducted the data analyses, drafted the initial manuscript, and had full access to all the data in the study; AT, FÇ and MÇ drafted the initial manuscript; NAA conceptualized and designed the study, drafted the final manuscript, and had full access to all the data in the study and all authors reviewed and revised the manuscript and approved the final manuscript as submitted and agree to be accountable for all aspects of the work.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no competing interest.
All participants and parents provided written informed consent.
- 14.Ruperto N, Ozen S, Pistorio A, Dolezalova P, Brogan P, Cabral DA et al (2010) EULAR/PRINTO/PRES criteria for Henoch-Schonlein purpura, childhood polyarteritis nodosa, childhood Wegener granulomatosis and childhood Takayasu arteritis: Ankara 2008. Part I: Overall methodology and clinical characterisation. Ann Rheum Dis 69:790–797CrossRefGoogle Scholar
- 19.Zulian F, Woo P, Athreya BH, Laxer RM, Medsger TA Jr, Lehman TJ et al (2007) The Pediatric Rheumatology European Society/American College of Rheumatology/European League against Rheumatism provisional classification criteria for juvenile systemic sclerosis. Arthritis Rheum 57:203–212CrossRefGoogle Scholar
- 23.Gewitz MH, Baltimore RS, Tani LY, Sable CA, Shulman ST, Carapetis J et al (2015) Revision of the Jones Criteria for the diagnosis of acute rheumatic fever in the era of Doppler echocardiography: a scientific statement from the American Heart Association. Circulation 131:1806–1818CrossRefGoogle Scholar
- 24.Sherry DD (2001) Textbook of pediatric rheumatology. WB Saunders Co, Philadelphia, pp 362–380Google Scholar
- 26.Sonmez HE, Armagan B, Ayan G, Barut K, Batu ED, Erden A et al (2018) Polyarteritis nodosa: lessons from 25 years of experience. Clin Exp Rheumatol 117:52–56Google Scholar