Pediatric rheumatology: An under-recognized subspecialty in India

Pediatrics in India at the levels of both undergraduate and postgraduate training is often viewed upon as an acute disease specialty with little emphasis on chronic medical musculoskeletal diseases. Pediatric rheumatology is an under-recognized subspecialty of pediatrics which deals specifically wit...

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Main Authors: Akhila Kavirayani, Suma Balan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:International Journal of Advanced Medical and Health Research
Subjects:
Online Access:http://www.ijamhrjournal.org/article.asp?issn=2349-4220;year=2017;volume=4;issue=2;spage=47;epage=53;aulast=Kavirayani
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author Akhila Kavirayani
Suma Balan
author_facet Akhila Kavirayani
Suma Balan
author_sort Akhila Kavirayani
collection DOAJ
description Pediatrics in India at the levels of both undergraduate and postgraduate training is often viewed upon as an acute disease specialty with little emphasis on chronic medical musculoskeletal diseases. Pediatric rheumatology is an under-recognized subspecialty of pediatrics which deals specifically with childhood arthritis, noninflammatory joint pains, connective tissue diseases, autoimmune diseases, vasculitis, and other rare inflammatory disorders. This article aims to give a bird's eye view of the repertoire of commonly encountered problems seen by a pediatric rheumatologist, via a classical case vignette for each topic followed by discussion. There is also mention of some rare diseases managed within pediatric rheumatology to give a flavor of the spectrum of diseases encountered. This is to raise awareness of the importance of pediatric rheumatology as a subspecialty within India and to prompt readers to seek specialist advice when encountering challenging cases. Pediatric rheumatologists network and work collaboratively with many other specialties such as ophthalmology, dermatology, neurology, orthopedics, nephrology, infectious diseases, immunology, and gastroenterology for combined care of diverse conditions. There is an unmet need in India to develop a training program for pediatric rheumatology so that shared care pathways with sensitized pediatricians and other specialists can be developed nationwide, to serve these children better to achieve optimal outcomes.
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spelling doaj.art-00b01ae3fa9b4932a87c4f650f0d3d632022-12-22T00:41:32ZengWolters Kluwer Medknow PublicationsInternational Journal of Advanced Medical and Health Research2349-42202350-02982017-01-0142475310.4103/IJAMR.IJAMR_62_17Pediatric rheumatology: An under-recognized subspecialty in IndiaAkhila KavirayaniSuma BalanPediatrics in India at the levels of both undergraduate and postgraduate training is often viewed upon as an acute disease specialty with little emphasis on chronic medical musculoskeletal diseases. Pediatric rheumatology is an under-recognized subspecialty of pediatrics which deals specifically with childhood arthritis, noninflammatory joint pains, connective tissue diseases, autoimmune diseases, vasculitis, and other rare inflammatory disorders. This article aims to give a bird's eye view of the repertoire of commonly encountered problems seen by a pediatric rheumatologist, via a classical case vignette for each topic followed by discussion. There is also mention of some rare diseases managed within pediatric rheumatology to give a flavor of the spectrum of diseases encountered. This is to raise awareness of the importance of pediatric rheumatology as a subspecialty within India and to prompt readers to seek specialist advice when encountering challenging cases. Pediatric rheumatologists network and work collaboratively with many other specialties such as ophthalmology, dermatology, neurology, orthopedics, nephrology, infectious diseases, immunology, and gastroenterology for combined care of diverse conditions. There is an unmet need in India to develop a training program for pediatric rheumatology so that shared care pathways with sensitized pediatricians and other specialists can be developed nationwide, to serve these children better to achieve optimal outcomes.http://www.ijamhrjournal.org/article.asp?issn=2349-4220;year=2017;volume=4;issue=2;spage=47;epage=53;aulast=KavirayaniAutoimmuneautoinflammatory diseasechildhood arthritischronic painIndiajuvenile idiopathic arthritispediatric rheumatologyvasculitis
spellingShingle Akhila Kavirayani
Suma Balan
Pediatric rheumatology: An under-recognized subspecialty in India
International Journal of Advanced Medical and Health Research
Autoimmune
autoinflammatory disease
childhood arthritis
chronic pain
India
juvenile idiopathic arthritis
pediatric rheumatology
vasculitis
title Pediatric rheumatology: An under-recognized subspecialty in India
title_full Pediatric rheumatology: An under-recognized subspecialty in India
title_fullStr Pediatric rheumatology: An under-recognized subspecialty in India
title_full_unstemmed Pediatric rheumatology: An under-recognized subspecialty in India
title_short Pediatric rheumatology: An under-recognized subspecialty in India
title_sort pediatric rheumatology an under recognized subspecialty in india
topic Autoimmune
autoinflammatory disease
childhood arthritis
chronic pain
India
juvenile idiopathic arthritis
pediatric rheumatology
vasculitis
url http://www.ijamhrjournal.org/article.asp?issn=2349-4220;year=2017;volume=4;issue=2;spage=47;epage=53;aulast=Kavirayani
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