Open Digital Library of Pediatric Rheumatic Disease

Introduction and initial images

 

 

 

Kelly Rouster-Stevens and Michael L. Miller

From the Department of Pediatrics
Feinberg School of Medicine
Northwestern University,
Chicago, IL.
e-mail kellyrstevens@md.northwestern.edu; millermd@northwestern.edu

 

INTRODUCTION

            Pediatric rheumatic diseases are fully understood and appreciated when pictures are presented.  Textbooks and journal articles do provide various photographs; however, converting the pictures to a format suitable for teaching is a cumbersome process.  The Internet has introduced an efficient means by which the practitioner can access information.  Certain photographs obtained from the Internet are prevented from use in teaching presentations due to copyright laws.  The purpose of this project is to organize a digital library of pediatric rheumatic diseases that may be used without restriction.  All pictures are obtained with patient and/or parent permission granted for teaching and training purposes (but not for publication in a text).  The images will be numbered systematically; the number before the decimal point corresponds to the page in Cassidy's most recent pediatric rheumatology text (Textbook of Pediatric Rheumatology, 4th edition, ed. Cassidy JT and Petty RE, W.B. Saunders, Philadelphia, 2001) and the number after the decimal point is the sequential number for that series.  We will present additional images in future columns  as a reliable source for pediatric rheumatology teaching presentations.  We hope they provide an open source of training materials for the field of pediatric rheumatology. 

 

FIGURE LEGENDS

Figure 1.  254.1  Irregular pupillary border in a child with pauciarticular juvenile rheumatoid arthritis.

Figure 2.  272.1  Physical findings reflecting knee synovitis in pauciarticular or polyarticular JRA.  Fluid bulge in the left knee.

Figure 3.  197.1 Synovial cyst over the dorsum of the wrist in a boy with polyarticular juvenile rheumatoid arthritis. 

Figure 4. 236.1  X-ray of the hips in a 13 year old patient with polyarticular juvenile rheumatoid arthritis.  The right femoral head has severe erosions, with loss of joint space and osteopenia.

Figure 5.  328.1  Flattened lumbar spine, thoracic kyphosis, and decreased cervical flexion in a 19 year old with ankylosing spondylitis.