Rheumatology is the specialty of medicine that includes arthritis and autoimmune diseases. The term arthritis refers to the inflammation of a joint in the body. An autoimmune disease is where an abnormality in the immune system leads to the body’s defence harming its own cells by mistake.
Paediatric Rheumatology encompasses a wide variety of inflammatory and non-inflammatory conditions of the musculoskeletal system (muscles and joints) as well as conditions of non-infectious multi-system inflammation.
The types of conditions cared for by the Rheumatology team include:
- Juvenile idiopathic arthirits (JIA)
- Systemic lupus erythematosus (SLE)
- Juvenile dermatomyositis (JDM)
- Connective tissue disease
- Chronic recurrent multifocal osteomyelitis (CRMO)
- Dr Anthony Concannon, Paediatric Rheumatologist
- Dr Genevieve Ostring, Paediatric Rheumatologist
- Dr Jacqueline Yan, Paediatric Rheumatologist
Monday, Tuesday and Thursday between 7.30am and 4.00pm
At the clinic appointment a history of your child's symptoms will be taken as well as a review of any medications they are on. Your child will then be examined, and may be referred for further testing. They may also be reviewed by other members of the multi-disciplinary team.
Common Conditions / Procedures / Treatments
Blood tests can be used to look for how much inflammation there is in the body, monitor certain side effects of the medicines the patient is taking and/or help classify the patient's rheumatological condition.
X-rays are used to give a picture of the bones and joints. An x-ray can help to check the position and condition of the bones near a joint.
MRI (Magnetic Resonance Imaging) gives even more detailed pictures of joints and organs and may be helpful to check if the joint is damaged. Occasionally, if more detailed information about the joints is required, a dye is injected into the vein to show more detail in the picture.
A joint injection is most often done to deliver medicine directly into the joint. This may be done when the other medication the patient is taking is not controlling the arthritis well enough or if the patient has just one swollen joint. In older children the joint injections are done with the child inhaling laughing gas (nitrous oxide) which helps relieve the discomfort of the procedure.
Some medications used in rheumatology are given as an infusion. These can be steroids and some of the biologic agents.
- Steroids and Juvenile Idiopathic Arthirits (80.2 KB)
- Non-Steroidal Anti-Inflammatory Drugs (252.5 KB)
- Juvenile Dermatomyositis (553 KB)
- Methotrexate Parent Information (106.2 KB)
- Tips for taking charge of your healthcare (784.4 KB)
- Health skills checklist (775.4 KB)
- Joint Injections (162.4 KB)
Information to help parents/caregivers understand about joint injections
Links to further information:
This information has been provided by healthpoint.co.nz, helping people better understand and use New Zealand health services.