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Starship Paediatric Rheumatology
Public Service, Rheumatology, Paediatrics
Description
Rheumatology is the specialty of medicine that includes autoimmune and autoinflammatory conditions including arthritis. The term arthritis refers to the inflammation of a joint in the body. An autoimmune or autoinflammatory condition is where an abnormality in the immune system leads to the body’s defence harming its own cells by mistake.
Common Conditions
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 arthritis (JIA)
- Systemic lupus erythematosus (SLE)
- Vasculitis (e.g. Kawasaki, Behcet's)
- Connective tissue disease (e.g. juvenile dermatomyositis, scleroderma)
- Autoinflammatory conditions (e.g. chronic recurrent multifocal osteomyelitis, periodic fever syndromes)
Consultants
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Dr Anthony Concannon
Paediatric Rheumatologist
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Dr Genevieve Ostring
Paediatric Rheumatologist
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Dr Jacqueline Yan
Paediatric Rheumatologist
Referral Expectations
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. The specialist will discuss with you the possible diagnosis and what further tests or treatments are recommended. They will also contact your GP and/or paediatrician about the diagnosis, results of tests and a treatment plan.
Hours
Open Monday to Friday 8:00 AM – 4:00 PM
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.
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.
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.
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.
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.
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.
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 only a few swollen joints. In older children the joint injections are done with the child inhaling Entonox (laughing gas) which helps relieve the discomfort of the procedure. Younger children are given a general anaesthetic.
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 only a few swollen joints. In older children the joint injections are done with the child inhaling Entonox (laughing gas) which helps relieve the discomfort of the procedure. Younger children are given a general anaesthetic.
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 only a few swollen joints. In older children the joint injections are done with the child inhaling Entonox (laughing gas) which helps relieve the discomfort of the procedure. Younger children are given a general anaesthetic.
Some medications used in rheumatology are given as an intravenous infusion. These are given in hospital as a day admission.
Some medications used in rheumatology are given as an intravenous infusion. These are given in hospital as a day admission.
Some medications used in rheumatology are given as an intravenous infusion. These are given in hospital as a day admission.
Ultrasound uses high frequency sound waves/echoes to give images of soft tissues and fluid. These images can be helpful to show areas of inflammation.
Ultrasound uses high frequency sound waves/echoes to give images of soft tissues and fluid. These images can be helpful to show areas of inflammation.
Ultrasound uses high frequency sound waves/echoes to give images of soft tissues and fluid. These images can be helpful to show areas of inflammation.
Document Downloads
- Juvenile Dermatomyositis (PDF, 553 KB)
- Systemic Lupus Erythematosus (PDF, 400.1 KB)
- Steroids and Juvenile Idiopathic Arthritis (PDF, 80.2 KB)
- Non-Steroidal Anti-Inflammatory Drugs (PDF, 252.5 KB)
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Joint Injections
(PDF, 162.4 KB)
Information to help parents/caregivers understand about joint injections
Other
Links to further information:
Starship website transition information for young people and their families: https://www.starship.org.nz/patients-parents-and-visitors/youth-transition/
Arthritis NZ: https://www.arthritis.org.nz/children-with-arthritis/
Arthritis Australia: http://www.arthritisaustralia.com.au/index.php/arthritis-information/information-sheets.html
Contact Details
Starship Child Health, Central Auckland
Central Auckland
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Phone
(09) 3074949 ext 29134 (for non urgent enquiries)
Website
2 Park Road
Grafton
Auckland 1023
Street Address
2 Park Road
Grafton
Auckland 1023
Postal Address
Starship Child Health
Private Bag 92 024
Auckland Mail Centre
Auckland 1142
New Zealand
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This page was last updated at 2:58PM on November 20, 2023. This information is reviewed and edited by Starship Paediatric Rheumatology.