There are literally so many rheumatological illnesses in childhood, that it is impossible for me to predict what the specialist would be looking for. I guess he would do tests to rule out systemic onset juvenile chronic arthritis
, but it seems unlikely that he has been having fevers for 4 years and he still does not have joint disease
. Hence, I think it may be just "shooting in the dark" by his primary physician rather than something concrete. A good general pediatrician
may help unravel the conundrum better than a specific specialist.
- Dr. Taher