Difference between revisions of "Reactive poststreptococcal arthritis"

(Differential Diagnosis)
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==Differential Diagnosis==
 
==Differential Diagnosis==
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{{Differential Diagnosis Monoarthritis}}
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{{Differential Diagnosis Polyarthritis}}
  
 
==Diagnosis==
 
==Diagnosis==

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

Monoarticular arthritis

Algorithm for Monoarticular arthralgia

Polyarthritis

Algorithm for Polyarticular arthralgia

Diagnosis

Treatment

Disposition

  • Discharge

See Also

Arthritis

Source

Tintinalli