When to refer to paediatric rheumatology

Referral to paediatric rheumatology is warranted in the context of:

• Suspicion of inflammatory disease (joint or muscle).
• Suspicion of multisystem disease (e.g., rash suggestive of vasculitis, Raynaud's, uveitis, fever of no apparent cause).
• Limp that is not resolving. 
• Swollen joint(s). 
• Clumsiness (especially if a change in ability). 
• Back pain.
• Limb pain. 
• Joint pain that is not resolving. 
• School avoidance due to musculoskeletal pain. 
• Any red flags in relation to the above.

Please do not delay - if concerned refer !

Early diagnosis and treatment initiation does improve clinical outcomes !