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Suggest Treatment For Severe Knee Pain And Swelling In A Toddler

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Posted on Thu, 4 Aug 2016
Question: Dear Sir,
I want to ask about my daughter's knee pain related problem. She is 18 months old and facing a problem in her both leg. She can not even walk on her feet.She got several times swelling on her both knee, while try to walk on her legs. Please see the attached report for your kind review.
doctor
Answered by Dr. Pradeep Kumar Jain (1 hour later)
Brief Answer:
Wait for the MRI report,Juvenile idiopathic arthritis is most likelydiagnoi

Detailed Answer:
Hello

Thanks for asking on this platform

I have seen the report and it shows positive ANA,raised CRP and raised ESR.The values increased further after one month.
Negative Rheumatoid factor can be there even in juvenile arthritis.
Other possibilities like septic arthritis,vasculitis are uncommon with this report.
I would suggest you to wait for the MRI report as that may give clue to the possible diagnosis.
Please let me know about the further proceedings.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Pradeep Kumar Jain (18 minutes later)
Dear Sir,

Thanks for your quick reply. What is this in general term ? Is it very serious diagnosis ? Please advise us. Our daughter will walk safely in future or we need to take serious action. Please guide us.

TO whom we can show for this treatment ?

Regards XXXXX
doctor
Answered by Dr. Pradeep Kumar Jain (2 hours later)
Brief Answer:
Don't get overly worried,please consult a rheumatologist

Detailed Answer:
Hi

Thanks for follow up

In case of recurrent swelling of knee joint with positive ANA,raised ESR and CRP the most likely possibility is juvenile ideopathic arthritis(JIA).
Rheumatoid factor is negative,which is possible in a variant of JIA and is more common in this age.
Here before labelling a diagnosis I would like to wait for MRI report and also suggest you to consult a pediatric rheumatologist for his expert opinion.
So don't get overly worried.First consult a rheumatologist regarding the diagnosis and then management accordingly.

Regards
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Pradeep Kumar Jain

Pediatrician, Cardiology

Practicing since :2006

Answered : 2074 Questions

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Suggest Treatment For Severe Knee Pain And Swelling In A Toddler

Brief Answer: Wait for the MRI report,Juvenile idiopathic arthritis is most likelydiagnoi Detailed Answer: Hello Thanks for asking on this platform I have seen the report and it shows positive ANA,raised CRP and raised ESR.The values increased further after one month. Negative Rheumatoid factor can be there even in juvenile arthritis. Other possibilities like septic arthritis,vasculitis are uncommon with this report. I would suggest you to wait for the MRI report as that may give clue to the possible diagnosis. Please let me know about the further proceedings. Regards