Difference between revisions of "Reactive poststreptococcal arthritis"

(Background)
(Background)
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*[[Arthritis]] of one or more joints after Group A [[strep 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==

Revision as of 08:00, 13 July 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 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

Management

Disposition

  • Discharge

See Also

Arthritis

References