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Pediatric Rheumatology in Clinical Practice.pdf Pediatric Rheumatology in Clinical Practice Pediatric Rheumatology in Clinical Practice Patricia Woo, Ronald M. Laxer, and David D. Sherry Patricia Woo, CBE, MBBS, PhD, FRCP, FMedSci Professor of Paediatric Rheumatology, Director of the Centre for Paediatric and Adolescent Rheumatology, University College London Great Ormond Street Hospital for Sick Children and University College Hospital, London, UK Ronald M. Laxer, MD, FRCPC Vice President, Clinical and Academic Affairs, The Hospital for Sick Children Professor of Pediatrics and Medicine, University of Toronto, Toronto, Ontario, Canada David D. Sherry, MD Director, Clinical Rheumatology, Attending, Pain Management, Departments of Rheumatology and Anesthesiology, The Children’s Hospital of Philadelphia Professor of Pediatrics, University of Pennsylvania, Philadelphia, Pennsylvania, USA British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Library of Congress Control Number: 2006923490 ISBN-10: 1-84628-420-1 e-ISBN-10: 1-84628-421-X ISBN-13: 978-1-84628-420-5 e-ISBN-13: 978-1-84628-421-2 Printed on acid-free paper © Springer-Verlag London Limited 2007 Apart from any fair dealing for the purposes of research or private study, or criti- cism or review, as permitted under the Copyright, Designs and Patents Act 1988, this publication may only be reproduced, stored or transmitted, in any form or by any means, with the prior permission in writing of the publishers, or in the case of reprographic reproduction in accordance with the terms of licences issued by the Copyright Licensing Agency. Enquiries concerning reproduction outside those terms should be sent to the publishers. The use of registered names, trademarks, etc., in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant laws and regulations and therefore free for general use. Product liability: The publisher can give no guarantee for information about drug dosage and application thereof contained in this book. In every individual case the respective user must check its accuracy by consulting other pharmaceutical literature. 9 8 7 6 5 4 3 2 1 Springer Science+Business Media springer.com Preface Pediatric rheumatology is a relatively new speciality, with many fascinating conditions peculiar to young people. Many of these disorders are only rarely encountered by the generalist and so often present as diagnostic dilemmas. Our aim in producing this manual is to provide easily accessible and practical infor- mation in a pocket book. We aim to assist the pediatrician, the general practitioner, as well as rheumatologists with an interest in pediatric rheumatology, in the diagnosis and management of these diseases and problems. The emphasis has been placed on clinical presentation and how to arrive at a diagnosis, and an up-to-date management plan. Brief background information on the etiology is also provided. We sincerely hope that the infor- mation herein will help decrease the impact of these conditions on the children and their families by timely diagnosis and early intervention. Patricia Woo Ronald M. Laxer David D. Sherry ...