PEDS-10: Connective Tissue Diseases and JIA — Part 2 (Part 2 of 2)

A 6-year-old boy is brought to the outpatient clinic for two months of progressive difficulty climbing stairs, getting up from the floor, and lifting his arms to wash his hair. His mother describes a violaceous, almost purple discoloration over his upper eyelids, and erythematous scaly papules over the knuckles of both hands.