A 5-year-old boy previously diagnosed with autism spectrum disorder was brought to the pediatrician after he started limping and sometimes refused to walk at all. He seemed to bruise easily, and his parents noted petechiae on his legs. They reported that sometimes his gums bleed when brushing his teeth. Over the last three months, he had only been interested in eating a very small variety of foods. His parents were concerned that due to his autism spectrum disorder he was losing developmental milestones.
Is it juvenile idiopathic arthritis, scurvy, Rocky Mountain spotted fever, or osteomyelitis?
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