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A member asked:
6yr old has joint pain pos ana high esr pediatrician says its jra but her rhuemo says from flat feet and her podiatrist says its not from flat feet?
4 doctors weighed in across 3 answers
Get a 2nd opinion: This is impossible to answer without a personal examination of the child. However, an elevated ESR and a positive ANA give me cause for concern. I would suggest a 2nd opinion with another rheumatologist, especially a prediatric rheumatologist if one is available in your area.
Answered 6/10/2014
5.2k views
Hmmm: I hate to disagree with a rheumatologist, but flat feet do not cause a positive ANA and hi sed rate. Some sort of inflammatory and/or auto-immune process is involved. Some collagen vascular diseases can have these labs and also flat feet, but the feet don't cause the abnormal labs. Maybe a rheumatology second opinion?
Answered 6/10/2014
5.2k views
Have it re-evaluated: Kids may experience pain in different areas of the body during rapid growth spurts. Have it re-evaluated and get the appropriate treatment.
Answered 9/29/2016
4.3k views
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