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Case 20 

Case 20
Case 20

Joel David

, Anne Miller

, Anushka Soni

, and Lyn Williamson

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date: 23 October 2019

A 3-year-old Caucasian girl was referred to a paediatric rheumatology clinic with a 6-month history of a swollen right knee. She had not complained of any pain but her parents had noticed that she had stopped jumping on her trampoline. She had no history of injury. She was apyrexial and had no rashes. Her knee was warm with a boggy swelling and a reduced range of movement. The other joints and spine were normal. Slit-lamp ophthalmic assessment is shown in Fig. 20.1.

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