Difference between revisions of "Reactive poststreptococcal arthritis"

(Text replacement - "==Diagnosis==" to "==Evaluation==")
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==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
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==Evaluation==
 
==Evaluation==
 +
  
 
==Management==
 
==Management==
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==Disposition==
 
==Disposition==
 
*Discharge
 
*Discharge
 +
 
==See Also==
 
==See Also==
[[Arthritis]]
+
*[[Arthritis]]
 +
*[[Reactive arthritis]]
  
 
==References==
 
==References==

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