Citation

Goldenstein-Schainberg C, Chu LY, Pereira RM, Cossermelli W, Szer IS. J. Rheumatol. 1992; 19(1): 174-176.

Affiliation

Department of Internal Medicine, University of São Paulo School of Medicine, Brazil.

Copyright

(Copyright © 1992, Journal of Rheumatology Publishing)

DOI

unavailable

PMID

1556685

Abstract

Traumatic arthritis resulting from self-aggression is rarely encountered in children. Differentiation from child abuse and common causes of childhood arthritis is difficult and rests upon a high level of suspicion. We describe a 10-year-old girl with hand deformities associated with joint pain and swelling managed as juvenile rheumatoid arthritis for 3 years. Reevaluation revealed both physical and radiographic evidence of recurrent trauma. Psychiatric assessment confirmed the diagnosis of autoaggression leading to self-mutilation and psychosocial rehabilitation was essential in successful management.

Language: en