@article{ref1,
title="Arthritis as a manifestation of self-mutilation in childhood",
journal="Journal of rheumatology",
year="1992",
author="Goldenstein-Schainberg, C. and Chu, L. Y. and Pereira, Rosa M. R. and Cossermelli, W. and Szer, I. S.",
volume="19",
number="1",
pages="174-176",
abstract="Traumatic arthritis resulting from self-aggression is rarely encountered in children. Differentiation from child abuse and common causes of childhood arthritis is difficult and rests upon a high level of suspicion. We describe a 10-year-old girl with hand deformities associated with joint pain and swelling managed as juvenile rheumatoid arthritis for 3 years. Reevaluation revealed both physical and radiographic evidence of recurrent trauma. Psychiatric assessment confirmed the diagnosis of autoaggression leading to self-mutilation and psychosocial rehabilitation was essential in successful management.<p /> <p>Language: en</p>",
language="en",
issn="0315-162X",
doi="",
url="http://dx.doi.org/"
}