title: Guillain-Barré Syndrome presenting as unilateral hip pain in a child.
abstract: OBJECTIVE
  The aim of this report is to highlight the importance of close observation and follow-up in children who present with an acutely irritable hip. This is because hip pain is a symptom of not only benign but also severe conditions. Thus, at the time of the initial presentation, hip pain can be misdiagnosed. This report serves as an example for a wide range of doctors such as orthopaedic surgeons, paediatricians, emergency room physicians or primary care physicians, because these are the first-line doctors who treat patients with a painful hip.
  
  
  METHODS
  We herein present a three-year-old child who was admitted to our hospital with pain in the right leg and initially diagnosed with transient synovitis of the hip. An additional examination two days later, after severe deterioration of the clinical picture, revealed that our patient was actually suffering from Guillain-Barré syndrome. Failure to diagnose Guillain-Barré syndrome and initiating prompt treatment is potentially life-threatening.
  
  
  CONCLUSIONS
  Clinicians should be aware that hip pain could be the presenting complaint of Guillain-Barré syndrome, a syndrome that has many clinical features. Even when all the clinical and laboratory findings indicate a benign condition, Guillain- Barré syndrome should still be considered. Therefore, close observation and follow-up in children who present with an acutely irritable hip is highly recommended. In this way, the potentially catastrophic consequences of more severe conditions can be avoided.
authors.affiliation: Department of Medical Pediatrics, General Hospital of Rhodes, Rhodes, Greece. xneoc@yahoo.gr.
authors.forename: Charalambos
authors.initials: C
authors.lastname: Neocleous
authors.forename: Konstandinos
authors.initials: K
authors.lastname: Diakolios
authors.forename: Alkistis
authors.initials: A
authors.lastname: Adramerina
authors.forename: Evangelos
authors.initials: E
authors.lastname: Varveris
authors.forename: Vasiliki
authors.initials: V
authors.lastname: Tsioni
authors.forename: Konstandina
authors.initials: K
authors.lastname: Machairidou
mesh_terms: D018771:Arthralgia / Q000175:diagnosis* / Q000209:etiology; D002675:Child, Preschool; D003951:Diagnostic Errors; D005260:Female; D020275:Guillain-Barre Syndrome / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology; D006621:Hip Joint; D006801:Humans; D008475:Median Nerve / Q000503:physiopathology; D009431:Neural Conduction / Q000502:physiology*; D010525:Peripheral Nerves / Q000503:physiopathology; D010543:Peroneal Nerve / Q000503:physiopathology; D013497:Sural Nerve / Q000503:physiopathology; D013585:Synovitis / Q000175:diagnosis*; D013979:Tibial Nerve / Q000503:physiopathology; D014459:Ulnar Nerve / Q000503:physiopathology