Morning Stiffness in Pediatrics — 10yo Child | Pediatric Rheumatology | SMLE Q#16388
SMLE Question #16388
Pediatrics
Pediatric Rheumatology
Objective: OBJ-1767
Last updated: February 2026
A 10-year-old girl has 3 months of low-grade fever, fatigue, and polyarticular joint pain with morning stiffness for 1 hour. Examination shows swelling and tenderness of both metacarpophalangeal and proximal interphalangeal joints and wrists. Findings are consistent with RF-positive polyarticular juvenile idiopathic arthritis. What is the most appropriate initial pharmacologic therapy for long-term disease control?
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