D

Spiking quotidian fever (systemic-onset JIA), chronic anterior uveitis (especially in oligoarticular JIA) and subcutaneous rheumatoid nodules (in RF-positive polyarticular JIA) are all well-recognised manifestations of juvenile idiopathic arthritis [Wagner-Weiner, 2015, PMID 26114369; Maleki et al., 2023, PMID 37401872; Chua-Aguilera et al., 2017, PMID 28752373]. Raynaud's phenomenon is primarily linked to systemic sclerosis, lupus or mixed connective-tissue disease and is not considered a usual feature of JIA, making option D the exception [Chua-Aguilera et al., 2017, PMID 28752373].