TY - JOUR
T1 - Collagen vascular diseases
T2 - SLE, dermatomyositis, scleroderma, and MCTD
AU - Vehe, Richard K.
AU - Riskalla, Mona M.
N1 - Publisher Copyright:
© 2018 American Academy of Pediatrics. All rights reserved.
PY - 2018/10
Y1 - 2018/10
N2 - Practice Gap: Timely and accurate recognition of collagen vascular disorders (CVDs), and implementation of effective screening and referral processes for patients suspected of having a CVD, remain a challenge for many physicians. The result, too often, is unnecessary testing and referrals, and in some cases unnecessary anxiety for physicians, patients, and parents. Objectives After completing this article, readers should be able to: 1. Recognize the common clinical symptoms and signs of systemic lupus erythematosus, dermatomyositis, and scleroderma, and their distinction from common infectious mimics. 2. Recognize the testing that can clarify the likelihood of whether a child has a rheumatic disease, including the limited utility of early serologic testing for autoantibodies. 3. Recognize the prognosis and management objectives for these often-chronic disorders, and practical steps to ensure excellent outcomes.
AB - Practice Gap: Timely and accurate recognition of collagen vascular disorders (CVDs), and implementation of effective screening and referral processes for patients suspected of having a CVD, remain a challenge for many physicians. The result, too often, is unnecessary testing and referrals, and in some cases unnecessary anxiety for physicians, patients, and parents. Objectives After completing this article, readers should be able to: 1. Recognize the common clinical symptoms and signs of systemic lupus erythematosus, dermatomyositis, and scleroderma, and their distinction from common infectious mimics. 2. Recognize the testing that can clarify the likelihood of whether a child has a rheumatic disease, including the limited utility of early serologic testing for autoantibodies. 3. Recognize the prognosis and management objectives for these often-chronic disorders, and practical steps to ensure excellent outcomes.
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U2 - 10.1542/pir.2017-0262
DO - 10.1542/pir.2017-0262
M3 - Article
C2 - 30275033
AN - SCOPUS:85054063505
SN - 0191-9601
VL - 39
SP - 501
EP - 515
JO - Pediatrics in review
JF - Pediatrics in review
IS - 10
ER -