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Inflammatory conditions of the pediatric hand and non-inflammatory mimics

Abstract

Hand involvement can assume an outsized role in the perception and presentation of disease as a result of functional impairment, visual conspicuity and susceptibility to early structural damage. Rheumatologic referral for inflammatory conditions can be delayed because of assumptions of a traumatic, infectious or neoplastic etiology; conversely, initial rheumatologic evaluation might be pursued for many of the same non-inflammatory causes. This pictorial essay highlights inflammatory conditions affecting the pediatric hand, including juvenile idiopathic arthritis, infectious arthritis, systemic connective tissue disorders, and a variety of less common inflammatory diseases, as well as non-inflammatory congenital, vascular, neoplastic and metabolic differential considerations.

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Royle, L.N., Muthee, B.W. & Rosenbaum, D.G. Inflammatory conditions of the pediatric hand and non-inflammatory mimics. Pediatr Radiol 52, 104–121 (2022). https://doi.org/10.1007/s00247-021-05162-0

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Keywords

  • Children
  • Hand
  • Inflammatory arthropathy
  • Magnetic resonance imaging
  • Radiography
  • Rheumatology