A novel presentation of juvenile idiopathic arthropathy

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Abstract
A 3½ year old white girl was referred to a general paediatric clinic with a six month history of an abnormal gait. The child had been born at full term with no complications and developmental progress was normal to date. She had walked independently at 11 months and had been able to run normally from the age of 18 months. A gait abnormality was first noted at 3 years of age when there were intermittent episodes of toe-walking. This had subsequently become permanent. Her parents had encouraged her to walk normally, but despite their efforts the problem had worsened to the point that she was unable to run or climb stairs.

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