Paeds Cases · rheumatology-musculoskeletal-and-sports

Counsel a family on CVID arthritis and the need for a dual plan — OSCE

OSCE communication and shared-planning station: explaining to a family that their daughter's arthritis and bruising are rheumatic fingerprints of a common variable immunodeficiency rather than ordinary juvenile idiopathic arthritis, that the immune defect must be confirmed before any biologic is started, that immunoglobulin replacement will control infection susceptibility but not the arthritis, and that the plan is to treat both the immune defect and the rheumatic manifestation in parallel with shared care between immunology and rheumatology.