Difference between revisions of "Reactive poststreptococcal arthritis"

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==Background==
 
==Background==
*Arthritis of one or more joints after GAS pharyngitis
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*[[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
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*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)  
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*Begins approximately 10d after strep infection (compared to 21d for [[rheumatic fever]])  
*Arthritis
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*[[Arthritis]]
 
**Generally more severe than that in RF
 
**Generally more severe than that in RF
 
**Non-migratory, mono or oligoarthritis
 
**Non-migratory, mono or oligoarthritis
 
**ASA-resistant
 
**ASA-resistant
*Erythema nodosum and erythema multiforme are frequently seen
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*[[Erythema nodosum]] and [[erythema multiforme]] are frequently seen
  
 
==Differential Diagnosis==
 
==Differential Diagnosis==
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{{Differential Diagnosis Polyarthritis}}
 
{{Differential Diagnosis Polyarthritis}}
  
==Diagnosis==
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==Evaluation==
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*Throat culture
  
==Treatment==
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==Management==
 
*[[Penicillin]] if GAS is recovered from the throat
 
*[[Penicillin]] if GAS is recovered from the throat
 
*[[NSAIDs]]
 
*[[NSAIDs]]
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==Disposition==
 
==Disposition==
 
*Discharge
 
*Discharge
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==See Also==
 
==See Also==
[[Arthritis]]
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*[[Arthritis]]
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*[[Reactive arthritis]]
  
 
==References==
 
==References==
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[[Category:Pediatrics]]
 
[[Category:Pediatrics]]
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[[Category:ID]]

Latest revision as of 20:09, 6 October 2019

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

Differential Diagnosis

Monoarticular arthritis

Algorithm for Monoarticular arthralgia

Polyarthritis

Algorithm for Polyarticular arthralgia

Evaluation

  • Throat culture

Management

Disposition

  • Discharge

See Also

References