Historical features | Causes of limp |
Fever | Osteomyelitis, septic arthritis, systemic JIA, malignancy (eg, leukemia, metastatic neuroblastoma), or acute rheumatic fever |
History of trauma | Fracture, superficial or deep (muscle) contusion, muscle strain, or ligament sprain |
Activity increases pain | SCFE, apophysitis, osteochondrosis, joint hypermobility syndrome, osteochondritis dissecans, or stress fracture |
Activity decreases pain | Oligoarticular JIA, complex regional pain syndrome |
Cyclic pain pattern, nocturnal | Malignancy (eg, leukemia, Ewing sarcoma, or osteogenic sarcoma) or benign bone tumor (eg, osteoid osteoma) |
Abdominal pain | Immunoglobulin A vasculitis (Henoch-Schönlein purpura), appendicitis with periappendiceal abscess, ovarian torsion, pelvic inflammatory disease, or psoas abscess |
Back pain | Discitis, vertebral osteomyelitis, spondylolysis, spondylolisthesis, spinal epidural abscess, or herniated disc |
Migratory arthralgia | Acute rheumatic fever, gonococcal arthritis |
Morning stiffness | Oligoarticular JIA |
Rash | Immunoglobulin A vasculitis (Henoch-Schönlein purpura), serum sickness and serum sickness-like reactions, SLE, or gonococcal arthritis |
Current viral illness (especially influenza) | Benign acute myositis |
Recent upper respiratory viral illness | Transient synovitis |
Recent antibiotic use | Serum sickness and serum sickness-like reactions |
Recent urogenital or gastrointestinal bacterial infection | Reactive arthritis |
Recent intramuscular injection vaccinations | Sterile abscess, muscle inflammation |
New or poorly fitting shoes | Pressure necrosis or blisters |
Family history of connective tissue disorders | SLE, JIA |
Endocrinopathies (hypothyroidism, panhypopituitarism, and/or hypogonadism) | SCFE |
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