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Central venous occlusion is a common complication following transvenous lead or therapeutic catheter placement that can present either acutely or chronically. Pediatric rheumatology (PR) is a relatively new and scarce subspecialty in emerging countries. This study aimed to investigate physicians' attitude toward and real-life clinical practice in PR among residency-trained pediatricians. An electronic questionnaire was developed and sent via email to pediatricians that completed their residency training during 2007-2015 from Thailand.