Abstract:

Purpose: We aimed at evaluating patients directed to the child-romatology clinic with suspicious laboratory results. Method: All patients who were directed to our clinic between March 2018 and March 2019 with suspicious laboratory results were assessed. Results: A total of 273 new patients conducted by suspicious laboratory results were examined. 48% of these patients were girls, 52% men, and most were directed from clinics for child health and diseases (70.3%). The most directed causes are anti-streptolysis O (ASO) height (n=86) and anti-nuclear antibodies (ANA) positive (n=47) while 66% of patients have not been diagnosed with a rheumatoid disease. No of the 49 patients who were unapproaching but suspicious laboratory results were diagnosed with a rheumatoid disease. 64.6 percent of those diagnosed with rheumatoid disease were periodic fever syndrome, 17.1 percent was juvenil idiopathic arthritis, 8.5 percent post-infectious arthritis, while the remaining 9.8 percent were joint tissue diseases, vasculitis and ovulation. The result: in patients who are not close to childhood rhumatism diseases, the laboratory findings alone are not important. The diagnosis of rheumatoid diseases should be placed with the patient's proximity, history, family history and physical examination findings, and supported by laboratory findings. With the reasonable use of laboratory examinations; unnecessary health expenses can be prevented and non-romatological applications to children's romatology clinics can be prevented.

Keywords: