Reduced Range Of Motion in Pediatrics — 8yo Child | Pediatric Rheumatology | SMLE Q#11232

SMLE Question #11232

Pediatrics Pediatric Rheumatology

Objective: OBJ-1767

Last updated: February 2026
An 8-year-old girl has 6 months of intermittent aching pain and morning stiffness in both wrists and knees. Stiffness is worse on waking and improves after 1–2 hours, allowing normal activity later in the morning. There is no trauma, fever, weight loss, or recent gastrointestinal or genitourinary infection. Growth and appetite are normal. Examination shows mild swelling and warmth with reduced range of motion in both knees and wrists, without erythema, rash, lymphadenopathy, or cardiac findings. What is the most likely diagnosis?

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