Childhood Diseases

Posted by: aldes | 2008/11/25


Nine yr old Daughter has arthritis

My 9 year old daughter has been diagnosed with arthritis. After many tests and scans, the diagnosis seems to be leaning towards ankylosing spondilytis. She tested negative for the genetic marker and TB, but because the pain is mostly in hips and lower back, rheumatologist treating as per ank spond. showed allergy to salazopyrine so that was discontinued. We' ve now started methotrexate and are only in week two, so pain levels quite high. Can' t do any exercise. 3 minutes on her bicycle on a flat road, riding gently, resulted in escalated pain levels within half an hour. Even 20 minutes in the pool ended in a night mare. I feel I should be doing more. Do I go for a second opinion or do I leave things as is and show more patience for medication to start working?

Expert's Reply



Ankylosing spondylitis does occur in children and your daughter's ymptoms are suggestive of this diagnosis. However the illness usually starts in adolescence and in the twenties and the genetic marker test is negative. Your daughter his being treated on medications with serious potential side effects and she is not really showing any improvement. I strongly agree that a definite diagnosis is essential here and great caution should be exercised when deciding on treatment. A second opinion would be a good idea.

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