We think that our article1 has been misunderstood. The word "swelling" was used to describe the nodule by parents. The patient had only nodules and limited motion of the arms in the morning. Pain or joint swelling were not present either in the history or on physical examination. Morning stiffness alone cannot be regarded as a criterion of objective arthritis in the diagnosis of JRA.2 The negative test result for rheumatoid factor does not exclude the diagnosis of benign rheumatoid nodules as well as JRA.3 We think that the criteria fulfilling the diagnosis of JRA have not developed in our patient.
Although benign rheumatoid nodules are found in well children, long-standing joint pain has also been reported.4 Any other illness will not develop in most of the patients with benign rheumatoid nodules,3 but the occurrence of JRA 7 and 15 years after the onset of
Yavuz H, Özel A, Erkul I. Benign Rheumatoid Nodules-Reply. Arch Pediatr Adolesc Med. 1994;148(11):1220. doi:10.1001/archpedi.1994.02170110106024