<prompt> All of the following are seen in Systemic Juvenile Arthritis, exceptRheumatoid Factor veHepatosplenomegalyHigh fever with rashElevated E.S.R.  <response>: Systemic JRAIllness begins as intermittent fever rising upto 39 or may precede joint involvement by several weeks and even upto 6 monthsThere is a characteristic cavenescent maculopapular rash with central clearingLymphadenopathy and Splenomegaly may be presentPericarditis and Interstitial lung disease may be presentInvestigations show :Immoderate neutrophilic leucocytosisElevated ESR RF -ve ANA can be demonstrated RememberEye manifestation Iridocyclitis can occur in both pauciarticular and polyarticular JRA and absent in systemic JRAANA can be present in all forms of JRA.Rheumatoid factor Rheumatoid Nodule are ve only in some cases of polyarticular form.Rashes, Splenomegaly and lymphadenopathy are present in system JRA. 