When comparing a child's clinical manifestations with that of oligoarthritis versus systemic onset, the health care provider diagnoses this in your 4-year-old child with oligoarthritis based on which of the following clinical findings?

Question

A) Right knee is warm and painful when putting it through normal range of motion.
B) Faint, red macular rash noted over entire body.
C) Rash is diffuse with severe itching.
D) Daily has an intermittent elevated temperature.

Answer 1

Ans: A
Feedback:
Oligoarthritis, which is the most common type of JIA, predominantly affects joints of the lower extremities, usually the knees or ankle. Involvement of upper extremity large joints and the hip is rarely a presenting sign. Often a single joint is affected at onset. Children with this form of JIA are usually younger (1 to 5 years at onset) and are often rheumatoid factor (RF) positive. The symptoms of systemic JIA include a daily intermittent high fever, which usually is accompanied by a characteristic faint, erythematous, macular rash. The rash is not pruritic.