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Monoarthritis; remember to ask the child
  1. B S Rayen,
  2. A Chapman
  1. Dumfries & Galloway Royal Infirmary, UK
  1. Correspondence to:
    Dr B S Rayen
    Department of Paediatrics, Dumfries & Galloway Royal Infirmary, Bankend Road, Dumfries DG1 4AP, UK; drrayenyahoo.com

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An 8 year old boy was referred by his general practitioner to the paediatric outpatient department with pain and swelling of his left knee. This had been present for three months, during which the boy had attended the general practitioner on more than one occasion. A presumptive diagnosis of reactive arthritis had been made initially and he was treated …

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