Examples of abnormal pGALS
The photograph below shows a 'sausage toe' due to dactylitis (swelling of a digit beyond the margins of a joint, as seen in psoriatic arthritis).
The photograph below shows swollen knees, swollen ankles and thigh wasting in a child with polyarticular Juvenile Idiopathic Arthritis.
The photograph below shows finger contractures and restricted wrists in untreated polyarticular Juvenile Idiopathic Arthritis.
The photograph below shows micrognathia (abnormally small mandible) in untreated systemic onset Juvenile Idiopathic Arthritis with arthritis in the jaw.
The photograph below shows an abnormal left hindfoot with swelling due to tenosynovitis.
The photograph below shows several fingers with restriction of extension and a swollen right wrist with limited dorsiflexion.
A video demonstration of pGALS and further detailed examination of relevant areas with pREMS is available - this child has a form of mucopolysaccharidosis (further information is available in the Investigations and Arthritis modules