Difference between revisions of "Reactive poststreptococcal arthritis"

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==Clinical Features==
 
==Clinical Features==
 
*Begins approximately 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
 
**Non-migratory, mono or oligoarthritis
 
**Non-migratory, mono or oligoarthritis
 
**ASA-resistant
 
**ASA-resistant
*Erythema nodosum and erythema multiforme are frequently seen
+
*[[Erythema nodosum]] and [[erythema multiforme]] are frequently seen
  
 
==Differential Diagnosis==
 
==Differential Diagnosis==

Revision as of 22:41, 15 September 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

  • 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