Pediatric Rheumatology

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Comprehensive Evaluations

In-depth analysis of symptoms, medical history, and family background to accurately identify and diagnose pediatric autoimmune and inflammatory conditions.

Comprehensive Evaluations

Dr. Jully Padam specializes in Juvenile Idiopathic Arthritis (JIA) and uveitis, with expertise developed through ophthalmology training and her role as a Pediatric Rheumatologist at Stanford University. She maintains cutting-edge knowledge through ongoing collaboration with top specialists via CARRA and ACR. Beyond JIA and uveitis, Dr. Padam offers expert care for various pediatric rheumatologic conditions.

Systemic Lupus Erythematosus (SLE)

A complex autoimmune disease characterized by the immune system attacking healthy tissues, potentially causing inflammation and damage across multiple organs including the skin (rashes), kidneys (nephritis), joints (arthritis), as well as the heart, lungs, and nervous system.

Vasculitis

Inflammation of blood vessels that can affect various organs, causing symptoms such as rash, fever, and joint pain.

Scleroderma (Systemic Sclerosis)

A complex autoimmune disorder characterized by excessive collagen production causing progressive hardening (fibrosis) and tightening of skin and connective tissues, potentially advancing to affect internal organs including the lungs, heart, kidneys, and digestive tract.

Rheumatic Fever

A complication of a streptococcal throat infection that causes inflammation in the joints, heart, and other tissues.

Autoinflammatory Syndromes

Rare conditions characterized by recurrent episodes of fever and inflammation, such as Familial Mediterranean Fever (FMF).

Juvenile Dermatomyositis (JDM)

A rare inflammatory myopathy characterized by progressive muscle weakness and a distinctive reddish-purple rash on the eyelids, cheeks, and joints, caused by immune-mediated blood vessel inflammation.

Kawasaki Disease

A serious inflammatory condition where the immune system attacks blood vessels of varying sizes, potentially compromising blood flow to multiple organs and manifesting as rash, fever, joint pain, and organ-specific complications.

Chronic Recurrent Multifocal Osteomyelitis (CRMO)

An inflammatory bone disorder causing pain, swelling, and sometimes fever.

Fibromyalgia

A chronic condition marked by widespread musculoskeletal pain, fatigue, and other symptoms.

Dr. Padam also offers comprehensive diagnostic and treatment services, including:

Laboratory Tests

Ordering and interpreting specialized blood tests like antinuclear antibody (ANA), rheumatoid factor (RF), and other inflammatory markers.

Imaging Services

Use of X-rays, ultrasounds, or MRIs to assess joint damage and monitor disease progression.

Tailored Treatment Plans

Development of individualized treatment regimens, including medications (NSAIDs, disease-modifying antirheumatic drugs, or biologics), physical therapy, and supportive care.

Pain Management

Strategies to help children manage chronic pain associated with rheumatic conditions.

Multidisciplinary Collaboration

Coordinating care with other specialists, such as physical therapists, nutritionists, and psychologists, to ensure holistic care.

Support for Transition to Adult Care

Guidance for adolescents transitioning to adult rheumatology care as they age out of pediatric services.

Ongoing Monitoring and Follow-up Care

Regular follow-up appointments to track progress, adjust medications, and manage side effects.

Patient and Family Education

Educating families on the child’s condition, treatment options, and strategies to manage symptoms and improve quality of life.

Telemedicine Consultations

Virtual visits for follow-up care, questions, or minor concerns, providing convenience for busy families.

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