40. Rash and Joint Pain in a Child

  1. Christopher P. Holstege MD2,3,4,
  2. Alexander B. Baer MD2,5,
  3. Jesse M. Pines MD, MBA, MSCE6,7 and
  4. William J. Brady MD8,9,10
  1. Mara L. Becker MD, MSCE

Published Online: 3 AUG 2011

DOI: 10.1002/9781444397994.ch40

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

How to Cite

Becker, M. L. (2011) Rash and Joint Pain in a Child, in Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition (eds C. P. Holstege, A. B. Baer, J. M. Pines and W. J. Brady), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444397994.ch40

Editor Information

  1. 2

    Division of Medical Toxicology, University of Virginia School of Medicine, Charlottesville, VA, USA

  2. 3

    Blue Ridge Poison Center, University of Virginia School of Medicine, Charlottesville, VA, USA

  3. 4

    Departments of Emergency Medicine & Pediatrics, University of Virginia School of Medicine, Charlottesville, VA, USA

  4. 5

    Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA

  5. 6

    Center for Health Care Quality, George Washington University, Washington, DC, USA

  6. 7

    Departments of Emergency Medicine and Health Policy, George Washington University, Washington, DC, USA

  7. 8

    Department of Emergency Medicine, University of Virginia, Charlottesville, VA, USA

  8. 9

    Center for Emergency Management, University of Virginia Health System, Charlottesville, VA, USA

  9. 10

    Charlottesville-Albemarle Rescue Squad & Albemarle County, Fire Rescue, Charlottesville, VA, USA

Author Information

  1. University of Missouri Kansas City, Children's Mercy Hospitals and Clinics, Kansas City, MO, USA

Publication History

  1. Published Online: 3 AUG 2011
  2. Published Print: 12 AUG 2011

ISBN Information

Print ISBN: 9781444333473

Online ISBN: 9781444397994

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Keywords:

  • Case 40, rash - and joint pain in a child;
  • 8-year-old boy, with rash for 2 days - inability to ambulate, due to bilateral ankle pain;
  • rash starting on legs, more generalized - neither painful nor pruritic;
  • skin lesions, palpable and purple in hue - not blanching with pressure;
  • ankles, warm to touch - having minimal periarticular swelling;
  • right wrist, painful - and warm with periarticular swelling;
  • laboratory tests, normal complete blood count - coagulation studies, electrolytes, and urinalysis;
  • next step, in managing patient