Pediatrics

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Clinical Care

Faculty physicians within the IU School of Medicine’s Department of Pediatrics Division of Rheumatology offer consultations and co-management services to patients and their physicians on the full spectrum of pediatric rheumatic diseases—sometimes on diseases that do not have a name yet. They diagnose and treat rare autoimmune diseases, including scleroderma, systemic vasculitis, dermatomyositis and a broad range of arthritis processes in childhood. Children with inborn errors in the mechanisms that control inflammation, autoinflammatory disorders like Familial Mediterranean Fever, TRAPS, NOMID and other recurrent fever syndromes are included in the patient population for these physicians.

Most often, they are able to reassure a worried family that their child does not have one of the chronic inflammatory diseases and explain to them the biomechanical issues that cause the child’s pain. In all rheumatology’s services, these physicians gather a detailed medical history, perform a thorough physical examination, and address the problems at hand while considering all aspects of the child’s health issues.

1500
new consultations each year
5000
ambulatory visits each year

Services and Treatment

This team provides consultation for a broad range of rheumatic diseases, including juvenile idiopathic arthritis and related conditions; juvenile systemic lupus erythematosus; childhood myositis (dermatomyositis and polymyositis); mixed connective tissue disease; systemic scleroderma; localized scleroderma (en coup de sabre, morphea, Parry-Romberg, etc); systemic vasculitis (polyarteritis nodosa, microscopic PAN, granulomatosus with polyangiitis); Takayasu arteritis, etc.); rare inflammatory disorders, including Behçet disease, sarcoidosis, primary angiitis of the central nervous system; and autoinflammatory diseases, including hyper-IgD syndrome, TRAPS, cold induced autoinflammatory syndrome (CAPS), NOMID, Muckle-Wells, PFAPA syndrome, etc. Outpatient diagnostic and referral services are available for children with a variety of pain syndromes.

Inpatient consultations are available round-the-clock for patients at Riley Hospital for Children at IU Health. When patients with rheumatic disease are admitted to hospital, the primary service managing their care is the Pediatric Hospitalist service, with consultation from Pediatric Rheumatology faculty.