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Diagnoses

Arthritis or Extremity Pain, in Children and Adolescents19

ICD-10CM #M02.9Reactive arthropathy
Causes of Arthritis or Extremity Pain in Children and Adolescents
Rheumatic and Inflammatory Diseases

  • Juvenile idiopathic arthritis.
  • Systemic lupus erythematosus.
  • Juvenile dermatomyositis.
  • Polyarteritis.
  • Vasculitis.
  • Scleroderma.
  • Sjögren syndrome.
  • Behçet disease.
  • Overlap syndromes.
  • Granulomatosis with polyangiitis (Wegener granulomatosis).
  • Sarcoidosis.
  • Kawasaki syndrome.
  • Henoch-Schönlein purpura.
  • Chronic recurrent multifocal osteomyelitis.
Seronegative Spondyloarthropathies

  • Juvenile ankylosing spondylitis.
  • Inflammatory bowel disease.
  • Psoriatic arthritis.
  • Reactive arthritis associated with urethritis, iridocyclitis, and mucocutaneous lesions.
Infectious Illnesses

  • Bacterial arthritis (septic arthritis, Staphylococcus aureus, pneumococcus, gonococcus, Haemophilus influenzae).
  • Lyme disease.
  • Viral illness (parvovirus, rubella, mumps, Epstein-Barr virus, hepatitis B).
  • Fungal arthritis.
  • Mycobacterial infection.
  • Spirochetal infection.
  • Endocarditis.
Reactive Arthritis

  • Acute rheumatic fever.
  • Reactive arthritis (postinfectious due to Shigella, Salmonella, Yersinia, Chlamydia, or meningococcus).
  • Serum sickness.
  • Toxic synovitis of the hip.
  • Postimmunization.
Immunodeficiencies

  • Hypogammaglobulinemia.
  • Immunoglobulin A deficiency.
  • Human immunodeficiency virus.
Congenital and Metabolic Disorders

  • Gout.
  • Pseudogout.
  • Mucopolysaccharidoses.
  • Thyroid disease (hypothyroidism, hyperthyroidism).
  • Hyperparathyroidism.
  • Vitamin C deficiency (scurvy).
  • Hereditary connective tissue disease (Marfan syndrome, Ehlers-Danlos syndrome).
  • Fabry disease.
  • Farber disease.
  • Amyloidosis (familial Mediterranean fever).
Bone and Cartilage Disorders

  • Trauma.
  • Patellofemoral syndrome.
  • Hypermobility syndrome.
  • Osteochondritis dissecans.
  • Avascular necrosis (including Legg-Calvé-Perthes disease).
  • Hypertrophic osteoarthropathy.
  • Slipped capital femoral epiphysis.
  • Osteolysis.
  • Benign bone tumors (including osteoid osteoma).
  • Histiocytosis.
  • Rickets.
Neuropathic Disorders

  • Peripheral neuropathies.
  • Carpal tunnel syndrome.
  • Charcot joints.
Neoplastic Disorders

  • Leukemia.
  • Neuroblastoma.
  • Lymphoma.
  • Bone tumors (osteosarcoma, Ewing sarcoma).
  • Histiocytic syndromes.
  • Synovial tumors.
Hematologic Disorders

  • Hemophilia.
  • Hemoglobinopathies (including sickle cell disease).
Miscellaneous Disorders

  • Pigmented villonodular synovitis.
  • Plant-thorn synovitis (foreign body arthritis).
  • Myositis ossificans.
  • Eosinophilic fasciitis.
  • Tendinitis (overuse injury).
  • Raynaud phenomenon.
Pain Syndromes

  • Fibromyalgia.
  • Growing pains.
  • Depression (with somatization).
  • Reflex sympathetic dystrophy.
  • Regional myofascial pain syndromes.