05-23-2007, 04:28 PM
A 10-year-old girl has complained of joint pain for the past 2 years. The pain is localized to her knees and ankles; it occurs either with or without movement. The arthralgias are accompanied by fever. On physical examination she has a temperature of 37.8 C. There is no deformity of her knees. She has generalized lymphadenopathy. Which of the following is the most likely diagnosis?
A Gonococcal arthritis
B Ankylosing spondylitis
C Juvenile rheumatoid arthritis
D Tuberculous arthritis
E Gout
A Gonococcal arthritis
B Ankylosing spondylitis
C Juvenile rheumatoid arthritis
D Tuberculous arthritis
E Gout