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Clinicopathologic Conference: A Four-Year-Old Child With Digital Clubbing.

Katherine SchultzAllison DivanovicChristopher ToweAlexander MiethkeKatie WusikAdrienne HammillHermine I Brunner
Published in: Arthritis care & research (2021)
History of the present illness: A four-year-old female presented to our pediatric rheumatology clinic with chief complaint of periodic fevers and abdominal pain. Fevers began 4 months prior to presentation following a documented streptococcal pharyngeal infection, with a maximum temperature of 104F. They occurred every 1-2 weeks and would then last 4-6 hours. Fevers were followed by severe abdominal pain that prevented eating. She did not have associated emesis, diarrhea, or constipation.
Keyphrases
  • abdominal pain
  • irritable bowel syndrome
  • primary care
  • mental health
  • physical activity
  • weight loss
  • early onset
  • juvenile idiopathic arthritis
  • case report
  • clostridium difficile
  • gestational age