drfax
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A 9-year-old girl has pain and swelling of the elbows and knees and a fever for 1 month. On physical examination, her temperature is 38C. There is decreased range of motion at the elbows and knees, with joint swelling and warmth. Laboratory studies show hemoglobin of 13.4 g/dL, hematocrit 40.3%, platelet count 288,200/cc, and WBC count 12,560/cc. The ANA test result is positive, but results for rheumatoid factor,Scl70, and SS-A serologies are negative. The girl's symptoms abate after 4 yrs and never recur. Which of the following is the most likely daignosis ?
A. systemic sclerosis
B.Juvenile rheumatoid arthritis
C.psoriatic arthropathy
D.Ankylosing spondylitis
E.Rieter syndrome
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| young_doc
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B?
RF is usually negative in JA.
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| klimt
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B for sure
it's Still's disease, ANA+
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| drfax
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yes it is B.
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