E-ISSN 1858-8360 | ISSN 0256-4408
 
2024, Vol: 24, Issue: 2
24 / 2Current Issue Online First Archive Aims and Scope Abstracting & Indexing Most Accessed Articles Most Downloaded Articles Most Cited Articles
Required files to be uploaded

Title page

Case Report
Online Published: 11 Dec 2024
 


Pubic symphysitis of enthesitis related arthritis mimicking urinary tract infection in a young boy

Neha Riswadkar, Rajoo Ramachandaran, Nidarshana Pandian, Mahesh Janarthanan.


Abstract
Enthesitis related arthritis (ERA) is a specific type of juvenile related arthritis (JIA) and ERA typically begins with enthesitis and peripheral arthritis in the lower extremities, progressing later in the disease to sacroiliitis and spinal involvement. The condition has a strong relationship with the HLA-B27 and primarily affects boys between the ages of 13 and 16 years. We describe an unusual presentation of ERA in a young boy with pubic pain and fever, describing its quintessential magnetic resonance imaging (MRI) findings. A child presented to the paediatric outpatient department with fever, insidious onset pubic pain and tenderness with associated leukocytosis and elevated inflammatory markers. MRI of the pelvis revealed bilateral symmetrical bone marrow edema involving the pubic symphysis and inferior pubic rami with para symphyseal edema involving bilateral obturator externus muscle and bilateral adductor longus muscle insertions suggestive of enthesitis of the pubic symphysis. MRI also showed sacroiliitis and enthesitis at other sites. HLA-B27 was positive. Patient responded well to short course of steroids and maintained remission with tumor necrosis factor (TNF) alpha inhibitors.

Key words: Pubic symphysitis; Enthesitis related arthritis; Urinary tract infection


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Neha Riswadkar
Articles by Rajoo Ramachandaran
Articles by Nidarshana Pandian
Articles by Mahesh Janarthanan
on Google
on Google Scholar


How to Cite this Article
Pubmed Style

Riswadkar N, Ramachandaran R, Pandian N, Janarthanan M. Pubic symphysitis of enthesitis related arthritis mimicking urinary tract infection in a young boy. Sudan J Paed. Online First: 11 Dec, 2024. doi:10.24911/SJP.106-1723696189

Web Style

Riswadkar N, Ramachandaran R, Pandian N, Janarthanan M. Pubic symphysitis of enthesitis related arthritis mimicking urinary tract infection in a young boy. https://sudanjp.com//?mno=215665 [Access: December 11, 2024]. doi:10.24911/SJP.106-1723696189

AMA (American Medical Association) Style

Riswadkar N, Ramachandaran R, Pandian N, Janarthanan M. Pubic symphysitis of enthesitis related arthritis mimicking urinary tract infection in a young boy. Sudan J Paed. Online First: 11 Dec, 2024. doi:10.24911/SJP.106-1723696189


Vancouver/ICMJE Style

Riswadkar N, Ramachandaran R, Pandian N, Janarthanan M. Pubic symphysitis of enthesitis related arthritis mimicking urinary tract infection in a young boy. Sudan J Paed, [cited December 11, 2024]; Online First: 11 Dec, 2024. doi:10.24911/SJP.106-1723696189


Harvard Style

Riswadkar, N., Ramachandaran, . R., Pandian, . N. & Janarthanan, . M. (2024) Pubic symphysitis of enthesitis related arthritis mimicking urinary tract infection in a young boy. Sudan J Paed, Online First: 11 Dec, 2024. doi:10.24911/SJP.106-1723696189


Turabian Style

Riswadkar, Neha, Rajoo Ramachandaran, Nidarshana Pandian, and Mahesh Janarthanan. 2024. Pubic symphysitis of enthesitis related arthritis mimicking urinary tract infection in a young boy. Sudanese Journal of Paediatrics, Online First: 11 Dec, 2024. doi:10.24911/SJP.106-1723696189


Chicago Style

Riswadkar, Neha, Rajoo Ramachandaran, Nidarshana Pandian, and Mahesh Janarthanan. "Pubic symphysitis of enthesitis related arthritis mimicking urinary tract infection in a young boy." Sudanese Journal of Paediatrics Online First: 11 Dec, 2024. doi:10.24911/SJP.106-1723696189


MLA (The Modern Language Association) Style

Riswadkar, Neha, Rajoo Ramachandaran, Nidarshana Pandian, and Mahesh Janarthanan. "Pubic symphysitis of enthesitis related arthritis mimicking urinary tract infection in a young boy." Sudanese Journal of Paediatrics Online First: 11 Dec, 2024. Web. 11 Dec 2024 doi:10.24911/SJP.106-1723696189


APA (American Psychological Association) Style

Riswadkar, N., Ramachandaran, . R., Pandian, . N. & Janarthanan, . M. (2024) Pubic symphysitis of enthesitis related arthritis mimicking urinary tract infection in a young boy. Sudanese Journal of Paediatrics, Online First: 11 Dec, 2024. doi:10.24911/SJP.106-1723696189




Most Viewed Articles
Most Accessed Articles

  • Rheumatic heart disease in North Darfur: an alarmingly high burden and control initiative
    Nagwa Salih, Ishag Eisa, Daresalam Ishag, Intisar Ibrahim, Sulafa Ali
    Sudan J Paed. 2018; 18(1): 24-27
    » Abstract » doi: 10.24911/SJP.2018.1.4

  • Feeding growth restricted premature neonates: a challenging perspective
    Siba Prosad Paul, Emily Natasha Kirkham, Katherine Amy Hawton, Paul Anthony Mannix
    Sudan J Paed. 2018; 18(2): 5-14
    » Abstract » doi: 10.24911/SJP.106-1519511375

  • Congenital brain malformations in Sudanese children: an outpatient-based study
    Inaam Noureldyme Mohammed, Soad Abdalaziz Suliman, Maha A Elseed, Ahlam Abdalrhman Hamed, Mohamed Osman Babiker, Shaimaa Osman Taha
    Sudan J Paed. 2018; 18(1): 48-56
    » Abstract » doi: 10.24911/SJP.2018.1.7

  • Evaluation of Science. [eng]
    Adnan Mahmmood Usmani; Sultan Ayoub Meo
    Sudan J Paed. 2011; 11(1): 6-7
    » Abstract

  • Medical education and services in an extreme environment
    Mustafa Abdalla M. Salih, Mohammed Osman Swar
    Sudan J Paed. 2018; 18(1): 2-5
    » Abstract » doi: 10.24911/SJP.2018.1.1

    •
    Most Downloaded
    Top Downloaded Articles

  • The role of micronutrients in thyroid dysfunction
    Amir Babiker, Afnan Alawi, Mohsen Al Atawi, Ibrahim Al Alwan
    Sudan J Paed. 2020; 20(1): 13-19
    » Abstract » doi: 10.24911/SJP.106-1587138942

  • Why mothers are not exclusively breast feeding their babies till 6 months of age? Knowledge and practices data from two large cities of the Kingdom of Saudi Arabia
    Hafsa Raheel, Shabana Tharkar
    Sudan J Paed. 2018; 18(1): 28-38
    » Abstract » doi: 10.24911/SJP.2018.1.5

  • Relactation in lactation failure and low milk supply
    Anita Mehta, Arvind Kumar Rathi, Komal Prasad Kushwaha, Abhishek Singh
    Sudan J Paed. 2018; 18(1): 39-47
    » Abstract » doi: 10.24911/SJP.2018.1.6

  • Inborn errors of metabolism associated with hyperglycaemic ketoacidosis and diabetes mellitus: narrative review
    Majid Alfadhel, Amir Babiker
    Sudan J Paed. 2018; 18(1): 10-23
    » Abstract » doi: 10.24911/SJP.2018.1.3

  • Neonatal polycythaemia
    Bashir Abdrhman Bashir, Suhair Abdrahim Othman
    Sudan J Paed. 2019; 19(2): 81-83
    » Abstract » doi: 10.24911/SJP.106-1566075225

    •
    Most Cited Articles
    Most Cited Articles

  • Anti-diabetic medications: How to make a choice?
    Amir Babiker, Mohammed Al Dubayee
    Sudan J Paed. 2017; 17(2): 11-20
    » Abstract » doi: 10.24911/SJP.2017.2.12
    Cited : 8 times [Click to see citing articles]

  • Commitment to the wellbeing of children worldwide. [eng]
    Mustafa Abdalla M Salih; Satti Abdelrahim Satti
    Sudan J Paed. 2011; 11(2): 4-5
    » Abstract
    Cited : 4 times [Click to see citing articles]

  • Pattern of malaria in hospitalized children in Khartoum state
    Hasan Awadalla Hashim, Eltigani Mohamed Ahmed Ali
    Sudan J Paed. 2017; 17(2): 35-41
    » Abstract » doi: 10.24911/SJP.2017.2.4
    Cited : 4 times [Click to see citing articles]

  • The role of micronutrients in thyroid dysfunction
    Amir Babiker, Afnan Alawi, Mohsen Al Atawi, Ibrahim Al Alwan
    Sudan J Paed. 2020; 20(1): 13-19
    » Abstract » doi: 10.24911/SJP.106-1587138942
    Cited : 4 times [Click to see citing articles]

  • Broad beans ( Vicia faba ) and the potential to protect from COVID-19 coronavirus infection
    Mutasim I. Khalil, Mustafa A. Salih, Ali A. Mustafa
    Sudan J Paed. 2020; 20(1): 10-12
    » Abstract » doi: 10.24911/SJP.1061585398078
    Cited : 4 times [Click to see citing articles]

    •

    About Sudanese Journal of Paediatrics

    Sudanese Journal of  Paediatrics is available free online at https://sudanjp.com/​.  Archives can also be found at https://sudanjp.org/. There ... Read more.



    For best results, please use Internet Explorer or Google Chrome.

    Contact Information

    Editor in Chief: Professor Mohamed Osman Swar, Department of Paediatrics and Child Health, Ahfad University for Women, Omdurman, Sudan. 

    E-mail: moswar2019@outlook.com
    Sudan Association of Paediatricians, Building No.71,   Block No.65,  Arkaweet,  Khartoum, Sudan.

    https://sudanap.org/

     
    Journal Email: editor.sudanjp@gmail.com

    Technical Support:
    anastasiia.pavlenco@sofiafields.com
    https://sofiafields.com/ 


    Hosting Providor:
    contact@discoverpublish.com
    https://discoverpublish.com/ 
    POLICIES & JOURNAL LINKS
    Author Login
    Reviewer Login
    About Publisher
    Advertising Policy
    Author's Rights and Obligations
    Conflict of Interest Policy
    Copyright Information
    Digital Archiving & Preservation Policies
    Editorial Policies
    Peer Review Policy
    Editorial & Peer Review Process
    License Information
    Open Access Policy
    Plagiarism Policy
    Privacy Policy
    Protection of Research Participants (Statement On Human And Animal Rights)
    Publication Ethics and Publication Malpractice Statement
    Corrections, Retractions & Expressions of Concern
    Self-Archiving Policies
    Statement of Informed Consent
    Terms of Use