doubt 16yo female dactilitis

Dear Ocaders,

16 yo female

allergy historic

long standing intermittent joint pain episodes, including knees

now:

mild 3rd 4rd and moderate 2nd finger dactylitis

hypothesis:

chronic recurrent non-bacterial osteomyelitis/ osteitis

juvenile rheumatoid arthritis

early onset spondyloarthropathy?

thoughts?

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