{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:51:45Z","timestamp":1747187505255,"version":"3.40.5"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,12,4]],"date-time":"2020-12-04T00:00:00Z","timestamp":1607040000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Dermatology"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background\/Objectives<\/jats:title><jats:p>Joint manifestations are a feature of many pediatric skin disorders, among them psoriasis, autoimmune and autoinflammatory diseases, hypermobility disorders, and as an adverse effect of certain medications. Identifying joint disease early is important for intervention and prevention of chronic damage. However, pediatric musculoskeletal complaints are common and determining whether symptoms warrant a rheumatology referral for arthritis can be challenging.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Pediatric dermatologists were surveyed for their comfort in screening for joint disease. Through literature review and interviews with three pediatric rheumatologists, key joints involved in disorders with skin manifestations and arthritis were identified and the essential evaluations were determined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 100 surveyed practicing board\u2010certified pediatric dermatologists, 79% did not feel confident in their ability to perform a joint\u2010focused physical examination, a key step in screening for joint disease. A rapid joint examination technique (R\u2010JET) was developed, along with an accompanying three\u2010question survey and body diagram for patient self\u2010report of symptoms. A video demonstration of the R\u2010JET was created as a teaching tool.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Teaching and incorporation of a rapid screening examination for arthritis by pediatric dermatologists has the potential to identify pediatric arthritis earlier, facilitate referral, and reduce the risk of progressive joint disease. These instruments can easily be incorporated into a pediatric dermatology office visit.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pde.14454","type":"journal-article","created":{"date-parts":[[2020,12,4]],"date-time":"2020-12-04T14:28:53Z","timestamp":1607092133000},"page":"92-97","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Incorporating joint pain screening into the pediatric dermatologic examination"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3312-2907","authenticated-orcid":false,"given":"Andrea M.","family":"Rustad","sequence":"first","affiliation":[{"name":"Department of Dermatology Northwestern University Feinberg School of Medicine Chicago IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian E.","family":"Nolan","sequence":"additional","affiliation":[{"name":"Departments of Pediatrics\/Rheumatology Northwestern University Feinberg School of Medicine Chicago IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0967-3968","authenticated-orcid":false,"given":"Ayelet","family":"Ollech","sequence":"additional","affiliation":[{"name":"Department of Dermatology Northwestern University Feinberg School of Medicine Chicago IL USA"},{"name":"Departments of Pediatrics\/Dermatology Northwestern University Feinberg School of Medicine Chicago IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9268-8417","authenticated-orcid":false,"given":"Michael J.","family":"Boctor","sequence":"additional","affiliation":[{"name":"Department of Dermatology Northwestern University Feinberg School of Medicine Chicago IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6187-6549","authenticated-orcid":false,"given":"Amy S.","family":"Paller","sequence":"additional","affiliation":[{"name":"Department of Dermatology Northwestern University Feinberg School of Medicine Chicago IL USA"},{"name":"Departments of Pediatrics\/Dermatology Northwestern University Feinberg School of Medicine Chicago IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,12,4]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"American College of Rheumatology.Juvenile idiopathic arthritis (JIA): arthritis foundation.https:\/\/www.arthritis.org\/diseases\/juvenile\u2010idiopathic\u2010arthritis. Accessed October 10 2020."},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0020279"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/1546-0096-11-44"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20569"},{"issue":"3","key":"e_1_2_6_6_1","first-page":"582","article-title":"Clinical comparison of early\u2010onset psoriatic and non\u2010psoriatic oligoarticular juvenile idiopathic arthritis","volume":"29","author":"Stoll ML","year":"2011","journal-title":"Clin Exp Rheumatol"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.160717"},{"key":"e_1_2_6_8_1","unstructured":"SherryDD.Children's Hospital of Philadelphia. Enthesitis by David Sherry MD.https:\/\/www.youtube.com\/watch?v=xtOLGIm1hhU. Published April 6 2012. 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