Difference between revisions of "Reactive poststreptococcal arthritis"

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*Not a/w other Major Jones criteria; milder illness than rheumatic fever
 
*Not a/w other Major Jones criteria; milder illness than rheumatic fever
  
==Diagnosis==
+
==Clinical Features==
 
*Begins approx 10d after strep infection (compared to 21d for rheumatic fever)  
 
*Begins approx 10d after strep infection (compared to 21d for rheumatic fever)  
 
*Arthritis
 
*Arthritis
Line 11: Line 11:
 
**ASA-resistant
 
**ASA-resistant
 
*Erythema nodosum and erythema multiforme are frequently seen
 
*Erythema nodosum and erythema multiforme are frequently seen
 +
 +
==Differential Diagnosis==
 +
 +
==Diagnosis==
  
 
==Treatment==
 
==Treatment==
*Penicillin if GAS is recovered from the throat
+
*[[Penicillin]] if GAS is recovered from the throat
*NSAIDs
+
*[[NSAIDs]]
  
 
==Disposition==
 
==Disposition==

Revision as of 17:46, 8 June 2015

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 illness than rheumatic fever

Clinical Features

  • Begins approx 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

Diagnosis

Treatment

Disposition

  • Discharge

See Also

Arthritis

Source

Tintinalli