Intra-articular calcifications in a child with juvenile rheumatoid arthritis
- 1Pediatric Research in Emergency Therapeutics (PRETx) Program, Division of Pediatric Emergency Medicine, The Hospital for Sick Children, Department of Pediatrics, University of Toronto, Ontario, Canada
- 2Division of Rheumatology, The Hospital for Sick Children, Department of Pediatrics, University of Toronto, Ontario, Canada
- Correspondence to:
Dr R D Goldman
Division of Paediatric Emergency Medicine, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario, Canada M5G 1X8;
An 8 year old girl with pauci-articular juvenile rheumatoid arthritis associated with positive antinuclear antibodies testing, arrived in the emergency department with severe right knee pain after a fall on both knees four days earlier. She had developed bilateral bruising with swelling and limited range of motion of the right knee, with no fever. She was found on plain x ray examination to have calcifications in joints injected previously with steroids. The girl was treated with a non-steroidal anti-inflammatory drug and the pain resolved after few days.
Competing interests: none declared