Reactive poststreptococcal arthritis

Revision as of 20:08, 27 June 2011 by Jswartz (talk | contribs) (Created page with "==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 ...")
(diff) ← Older revision | Latest revision (diff) | Newer revision → (diff)

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

Diagnosis

  • 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

Treatment

  • Penicillin if GAS is recovered from the throat
  • NSAIDs

Disposition

  • Discharge

See Also

Source

Tintinalli