Clinical profiles of post-infectious arthritis and transient synovitis of the hip in children
1
Issued Date
2022-01-01
Resource Type
ISSN
13288067
eISSN
1442200X
Scopus ID
2-s2.0-85135552384
Pubmed ID
35938590
Journal Title
Pediatrics International
Volume
64
Issue
1
Rights Holder(s)
SCOPUS
Bibliographic Citation
Pediatrics International Vol.64 No.1 (2022)
Suggested Citation
Ananthanathorn P. Clinical profiles of post-infectious arthritis and transient synovitis of the hip in children. Pediatrics International Vol.64 No.1 (2022). doi:10.1111/ped.15237 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/86308
Title
Clinical profiles of post-infectious arthritis and transient synovitis of the hip in children
Author(s)
Author's Affiliation
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Abstract
Background: Acute inflammatory arthritides can present as a result of immune reaction following infections. Post-infectious arthritis and transient synovitis of the hip in children are included in this disease entity. The aim of this study was to describe the clinical profiles of post-infectious arthritis and transient synovitis of the hip in Thai children. Methods: A retrospective review was performed at a tertiary care hospital in Bangkok, Thailand from January 2005 to July 2017. Results: Eighty-six patients (56 boys and 30 girls) were included in this study. Mean age was 8.4 ± 4.8 years. Reactive arthritis was diagnosed in two patients (2.3%) following Salmonella spp. and Chlamydia trachomatis infections. Post-streptococcal reactive arthritis was present in 10 patients (11.6%). Transient synovitis of the hip was found in 30 patients (34.9%). Forty-four patients (51.2%) were clinically diagnosed with post-infectious arthritis. Mono/oligoarthritis was the most common clinical profile (84.9%). The distribution of lower-extremity involvement was as follows: hip, 47.6%; knee, 46.5%; and ankle joints, 30.2%. The documented preceding illness consisted mostly of upper respiratory tract symptoms (30.2%). Non-steroidal anti-inflammatory drugs were prescribed for 70 patients (81.4%). Conclusion: Mono/oligoarthritis of the lower extremity was the main clinical profile. Preceding viral illness was documented in one-third of children. Reactive arthritis was rarely seen.