Differential Diagnosis for 16 y/o Female with All Over Joint Pain
Single Most Likely Diagnosis
- Juvenile Idiopathic Arthritis (JIA): This is a common condition in adolescents that presents with joint pain and inflammation. The diagnosis is often made based on clinical presentation and exclusion of other causes.
Other Likely Diagnoses
- Fibromyalgia: A condition characterized by widespread musculoskeletal pain, fatigue, and tender points. It's more common in females and can start in adolescence.
- Viral Arthritis: Various viral infections can cause joint pain, such as parvovirus B19, which is common in adolescents.
- Hypermobility Syndrome: Also known as Ehlers-Danlos syndrome, it can cause joint pain due to excessive joint mobility.
Do Not Miss Diagnoses
- Lupus: Systemic lupus erythematosus (SLE) is an autoimmune disease that can present with joint pain, among other systemic symptoms. It's crucial to diagnose early due to its potential for serious complications.
- Rheumatic Fever: Although less common, it can occur after a streptococcal infection and presents with joint pain, among other symptoms.
- Osteomyelitis or Septic Arthritis: Infections within the bone or joint can cause severe pain and have serious consequences if not treated promptly.
- Cancer (e.g., Leukemia, Lymphoma): Certain types of cancer can initially present with joint pain due to bone marrow involvement or metastasis.
Rare Diagnoses
- Sarcoidosis: A condition that can cause joint pain due to granulomatous inflammation, though it's less common in adolescents.
- Mixed Connective Tissue Disease: An autoimmune disorder that overlaps with lupus, scleroderma, and rheumatoid arthritis, presenting with joint pain among other symptoms.
- Relapsing Polychondritis: A rare condition characterized by recurrent episodes of cartilage inflammation, which can cause joint pain.