ABP Pediatric Rheumatology case studies
ABP Pediatric Rheumatology · Put your knowledge to work in context.
Pediatric Rheumatology subspecialty certification is a credential the American Board of Pediatrics (ABP) makes available to pediatricians who have completed accredited training in pediatric rheumatology and satisfied the Board's admission requirements. Candidates for this exam are typically fellows finishing rheumatology training or practicing subspecialists seeking initial certification, and they are expected to manage children with immune-mediated, inflammatory, and musculoskeletal disease across the full age spectrum, including adolescents transitioning to adult care. The ABP Pediatric Rheumatology case studies are 5 cases and about 2,409 words.
1Daily fever, falling platelets, and a ferritin of 4,800: systemic JIA evolving into MAS
An 18-month-old boy is admitted with 12 days of daily fever to 39.5°C, an evanescent salmon-colored rash, and refusal to bear weight. Two antibiotic courses have not helped.
511 words, about 3 min2Silent uveitis in oligoarticular JIA: a 3-hour drive to the slit lamp
A 5-year-old girl has had a swollen right knee for 3 months with 20 minutes of morning stiffness. She has no eye complaints and vision seems normal to her mother.
522 words, about 3 min3Proteinuria, low C3, and a positive ASO: lupus nephritis or post-streptococcal glomerulonephritis?
A 15-year-old girl presents with 3 months of fatigue, a malar rash, oral ulcers, and arthralgia, plus 2 weeks of leg swelling. Blood pressure is 138/88 mmHg.
462 words, about 2 min4Diffuse pain, a private MRI with "marrow edema," and a request for biopsy
A 12-year-old girl has had 8 months of diffuse leg and low back pain, worse with touch, without morning stiffness or joint swelling. She has missed 35 school days and uses a wheelchair at home although she can walk when distracted.
479 words, about 2 min5Seven days of fever, cracked lips, and a normal echocardiogram: treating Kawasaki disease without delay
An 18-month-old girl has had 7 days of fever to 40°C, bilateral nonexudative conjunctivitis, cracked red lips, a strawberry tongue, a polymorphous rash, and swollen hands. Her BCG scar is red.
435 words, about 2 min