Difference between revisions of "Reactive poststreptococcal arthritis"

(9 intermediate revisions by 4 users not shown)
Line 1: Line 1:
 
==Background==
 
==Background==
*Arthritis of one or more joints after GAS pharyngitis
+
*[[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
  
 
==Clinical Features==
 
==Clinical Features==
*Begins approx 10d after strep infection (compared to 21d for rheumatic fever)  
+
*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
Line 13: Line 13:
  
 
==Differential Diagnosis==
 
==Differential Diagnosis==
 +
{{Differential Diagnosis Monoarthritis}}
  
==Diagnosis==
+
{{Differential Diagnosis Polyarthritis}}
  
==Treatment==
+
==Evaluation==
 +
 
 +
 
 +
==Management==
 
*[[Penicillin]] if GAS is recovered from the throat
 
*[[Penicillin]] if GAS is recovered from the throat
 
*[[NSAIDs]]
 
*[[NSAIDs]]
Line 22: Line 26:
 
==Disposition==
 
==Disposition==
 
*Discharge
 
*Discharge
 +
 
==See Also==
 
==See Also==
[[Arthritis]]
+
*[[Arthritis]]
 +
*[[Reactive arthritis]]
 +
 
 +
==References==
 +
<references/>
  
==Source==
 
Tintinalli
 
  
[[Category:Peds]]
+
[[Category:Pediatrics]]

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