Arthritis?

Okay, so Manasseh has had these bizarre swellings on his fingers and toes.  He's had them every winter and spring of his life.  They seem to be totally random swellings and I can't find a common theme - food, weather, soaps, etc...

The doctors were puzzled by this, in fact, the pediatrician called his colleague in to look at Manasseh's fingers too, both men were puzzled.  They ordered x-rays and blood tests, found what they thought looked like it might possibly be arthritis, then sent him to Riley for further blood testing with the rheumatology department in order to confirm rheumatoid arthritis.  Riley Hospital Rheumatology decided that he does not have JRA and wanted to refer him to the dermatologist.

So today we went to the new doctor and I made sure to address his swollen fingers, currently his right hand, ring finger is swollen like a coke bottle.  She listened to my story and glanced through his charts which stated that he had a diagnosis of rheumatoid arthritis.  Crazy?!  So anyway, now we're on an adventure to find out what Riley says and what the treatment will be with this boy.