Case 26-1973: Fever and Rash in a Girl with Juvenile Rheumatoid Arthritis

Presentation of Case An 11-year-old girl was admitted to the hospital because of fever and a rash. She was well until 15 months previously, when anorexia occurred, with a daily rise of the temperature as high as 39.4°C, a generalized erythematous rash and a weight loss of 5 kg. Two months later arthralgias developed, with swelling of the fingers and ankles, a fleeting erythematous macular rash over much of the body and uveitis. She was seen at this hospital, where tests for rheumatoid factor and antinuclear antibody and an L.E.-cell test were negative. A diagnosis of juvenile rheumatoid arthritis was. © 1973, Massachusetts Medical Society. All rights reserved.

Duke Scholars

Author Stanley J. Robboy Pathology