Hand-foot syndrome
Vasoocclusive pain episodes in small bones of hand and feet
Typical presentation is in infants with sickle cell disease
45% infants with sickle cell will have this before age 2
Rare in older children
Possible predictor of severity of disease
Also seen in adults with seronegative spondyloarthropathies (psoriatic arthritis, ankylosing spondylitis)
Also seen in tuberculosis and leprosy
45% infants with sickle cell will have this before age 2
Rare in older children
Dactylitis
Osteomyelitis
Hand cellulitis
Other etiologies of arthritis
Tendonitis
Trauma
Tinea pedis
Vaso-occlusive pain crisis