Difference between revisions of "Reactive poststreptococcal arthritis"

(Created page with "==Background== *Arthritis of one or more joints after GAS pharyngitis **May represent mild form of rheumatic fever or separate entity *Not a/w other Major Jones criteria; milder ...")
 
 
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==Background==
 
==Background==
*Arthritis of one or more joints after GAS pharyngitis
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*[[Arthritis]] of one or more joints after Group A [[strep pharyngitis]]
 
**May represent mild form of rheumatic fever or separate entity
 
**May represent mild form of rheumatic fever or separate entity
*Not a/w other Major Jones criteria; milder illness than rheumatic fever
+
*Not associated with other Major Jones criteria; milder illness than rheumatic fever
  
==Diagnosis==
+
==Clinical Features==
*Begins approx 10d after strep infection (compared to 21d for rheumatic fever)  
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*Begins approximately 10d after strep infection (compared to 21d for rheumatic fever)  
 
*Arthritis
 
*Arthritis
 
**Generally more severe than that in RF
 
**Generally more severe than that in RF
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*Erythema nodosum and erythema multiforme are frequently seen
 
*Erythema nodosum and erythema multiforme are frequently seen
  
==Treatment==
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==Differential Diagnosis==
*Penicillin if GAS is recovered from the throat
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{{Differential Diagnosis Monoarthritis}}
*NSAIDs
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 +
{{Differential Diagnosis Polyarthritis}}
 +
 
 +
==Evaluation==
 +
 
 +
 
 +
==Management==
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*[[Penicillin]] if GAS is recovered from the throat
 +
*[[NSAIDs]]
  
 
==Disposition==
 
==Disposition==
 
*Discharge
 
*Discharge
 +
 
==See Also==
 
==See Also==
 +
*[[Arthritis]]
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*[[Reactive arthritis]]
 +
 +
==References==
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<references/>
  
==Source==
 
Tintinalli
 
  
[[Category:Peds]]
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[[Category:Pediatrics]]

Latest revision as of 03:18, 30 December 2016

Background

  • Arthritis of one or more joints after Group A strep pharyngitis
    • May represent mild form of rheumatic fever or separate entity
  • Not associated with other Major Jones criteria; milder illness than rheumatic fever

Clinical Features

  • Begins approximately 10d after strep infection (compared to 21d for rheumatic fever)
  • Arthritis
    • Generally more severe than that in RF
    • Non-migratory, mono or oligoarthritis
    • ASA-resistant
  • Erythema nodosum and erythema multiforme are frequently seen

Differential Diagnosis

Monoarticular arthritis

Algorithm for Monoarticular arthralgia

Polyarthritis

Algorithm for Polyarticular arthralgia

Evaluation

Management

Disposition

  • Discharge

See Also

References