Juvenile idiopathic arthritis Quiz: Ace Your Exams
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A 12-year-old boy presents to the clinic for evaluation of 6 months of morning stiffness, pain, and swelling in the knees and right ankle. Additionally, the child has experienced low back pain and stiffness that is worse in the morning and improves with exercise, and discomfort in the left heel. Vital signs are within normal limits. Physical examination shows swelling, tenderness, and limited range of motion in the knees bilaterally and the right ankle. There is tenderness at the insertion sites of the left Achilles and patellar tendons bilaterally. There is limited anterior flexion at the lower spine and pain with palpation at the bilateral sacroiliac joints. Laboratory results from the original clinic visit are reviewed. Which of the following findings would be specific for the likely underlying diagnosis?
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