title: THE DIFFERENTIAL ALGORITHM BETWEEN RHEUMATOLOGIC AND MALIGN DISEASES.
abstract: OBJECTIVE
  The aim of this study is to determine the differential algorithm between rheumatism and malignant diseases. For every pediatrician, to be warned when attending joint pain and child arthralgia and prevent and treat within time malignant diseases.
  
  
  METHODS
  Our case presented in Pediatric Clinic, was referred by Regional Hospital of Ferizaj with suspected diagnose of Febris Rheumatica and Arthralgia. The main complaint was joint pain. Initially the patient was admitted at Cardiology and Rheumatology department. Then after examinations was referred to Hemato-Oncology department. Hospitalized during the period from 12.12.2014 to 18.01.2015.
  
  
  RESULTS
  Bone marrow biopsy as terminal diagnostic tool reviled severe malignant hematologic disease, which was masked by clinical and lab findings as Febris Rheumatica.
  
  
  CONCLUSIONS
  Arthralgia as one of child's often complain, should have a special attention paid to, as it might be a warning sign for a lot of diseases. Steroid treatment should not be used before final diagnose of the disease and before rolling out hematologic etiology with peripheral blood smear.
authors.affiliation: Pediatric Clinic, University Clinical Center of Kosovo, Prishtina, Kosovo.
authors.forename: Arbnore Batalli
authors.initials: AB
authors.lastname: Këpuska
authors.affiliation: Pediatric Clinic, University Clinical Center of Kosovo, Prishtina, Kosovo.
authors.forename: Lidvana
authors.initials: L
authors.lastname: Spahiju
authors.affiliation: Pediatric Clinic, University Clinical Center of Kosovo, Prishtina, Kosovo.
authors.forename: Ramush
authors.initials: R
authors.lastname: Bejiq
authors.affiliation: Pediatric Clinic, University Clinical Center of Kosovo, Prishtina, Kosovo.
authors.forename: Rufadije
authors.initials: R
authors.lastname: Manqestena
authors.affiliation: Pediatric Clinic, University Clinical Center of Kosovo, Prishtina, Kosovo.
authors.forename: Valbona
authors.initials: V
authors.lastname: Stavileci
authors.affiliation: Department of Pharmacy, Faculty of Medicine, University of Prishtina, Kosovo.
authors.forename: Zana
authors.initials: Z
authors.lastname: Ibraimi
keywords: algorithm; arthralgia; febris rheumatic; joint pain; malign disease; rheumatism