RHEUMATIC DISEASES IN WOMEN & CHILDER CURRENT PERSPECTIVES -Sharma
- ISBN 9789351520818
- Edition 1/e
- Publish Year 2014
- Pages 176
- Size 6.25" X 9.5"
- Cover Type Paper Back
- With CD/DVD No
There are many standard textbooks of Rheumatology, but none with an emphasis on the rheumatic diseases in the context of women and child bearing, and the diseases that affect children. This book aims to fill this important gap.
Children with rheumatic diseases are a neglected lot in our country. Early diagnosis and appropriate therapy are standards of care that are not available to the vast majority of these patients. This book highlights common issues that confront the pediatrician. The pediatric section of the book deals with clinically relevant topics and addresses juvenile idiopathic arthritis, PUO and pediatric rheumatology, the approach to a child with a connective tissue disease and systemic vasculitis, neonatal lupus and finally discusses the transition of care of the pediatric rheumatology patient to the adult team.
Rheumatic diseases are more common in women and children than in men. These diseases often strike early in life and, thus, may have considerable effects on pregnancy and pregnancy outcomes. The adverse effects are both because of the disease and the drugs that are required to treat these conditions.
Several drugs used for the treatment of systemic autoimmune diseases are teratogenic and some may cause sterility. There are no standard guidelines for important questions that face both the physician and the patient, e.g. When should the pregnancy be planned?; When should the DMARDs be stopped?; and How should a high-risk pregnancy be managed? The answers to these questions can be challenging. Patient-counseling about these issues should be a routine, early in the course of the disease; else the trauma of a medical termination of pregnancy is all that the patient is left with. In a busy outpatient clinic, these issues are often overlooked with far-reaching consequences.
The child with a rheumatic disease often goes unrecognized in our country. Delayed diagnosis and disease-related damage are common place. These children need early specialist care with a multidisciplinary team, so that he or she may grow up into a healthy adult with no deformities, be functionally adequate and have the ability to lead a full and normal life. 'Zero disease tolerance' and the aim for 'remission' are the goals for every child with a rheumatic disease
This book aims to bridge this vital gap. We hope that it is well received not only at the undergraduate and postgraduate levels, but also be of benefit for the practising rheumatologists, besides being helpful to some patients