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Assessment of children presenting with rheumatic complaints to a tertiary center in Turkey: differences in an Eastern Mediterranean population

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Pediatric Rheumatology20086 (Suppl 1) :P138

  • Published:


  • Vasculitis
  • Fibromyalgia
  • Rheumatic Disease
  • Synovitis
  • Familial Mediterranean Fever


To evaluate the profile of rheumatic complaints in children in Turkey. The data of the first half of a 6-month prospective study is presented.


Demographic features, medical history, symptoms and signs of children with rheumatic complaints were analysed prospectively in a tertiary health center in central Anatolia. A detailed rheumatologic examination was done. Complete blood counts, ESR, CRP measurement were performed in all patients; other studies were done if necessary.


From 01st December 2007 to 29th February 2008, a total of 241 children (M/F: 124/117; mean age 8.0 ± 4.0 years) were enrolled. Knee, ankle, hip and wrist were the most frequently involved joints. 61.8% had rheumatic diseases, and 38.2% had non-rheumatic diseases. The common causes constituted of familial Mediterranean fever (12.0%), other periodic fever syndromes (2.1%), HSP (8.7%) and other vasculitides (3.7%), JIA (10.0%), toxic synovitis (6.6%), rheumatic complaints during the course of an infectious disease (7.9%), growth pain (12.9%), orthopedic problems (18.7%); acute rheumatic fever (1.7%), malignancy (1.7%), SLE (1.2%), dermatomyositis (0.4%), overlap syndrome (0.4%) and fibromyalgia (0.8%) were rare.


This is the first study assessing the profile of rheumatic complaints in this part of the world. Our results have showed that auto-inflammatory diseases are strikingly high. Vasculitides and HSP are higher, whereas fibromyalgia is very rare compared to Western Europe. The frequency of ARF has decreased.

Authors’ Affiliations

Hacettepe University, School of Medicine, Ankara, Turkey


© Bircan Cavkaytar et al; licensee BioMed Central Ltd. 2008

This article is published under license to BioMed Central Ltd.