Fig.3 Cervical spine-Lateral

Juvenile Rheumatoid Arthritis ( Juvenile Idiopathic Arthritis)

Fourteen year old boy with complaints of chronic joint pain for long duration.No serolological or biochemical suggestion for a specific arthritis and a diagnosis of Juvenile Rheumatic Arthritis was made based  on clinical and radiological features. He was treated with non steroidal antiinflammatory drugs and gold salt injection (This case was reported in early 1990's and majority of Disease Modifying Anti Rheumatic Drugs (DMARDs) were either not available or not much in use at that time)