Reactive poststreptococcal arthritis: Difference between revisions
m (Rossdonaldson1 moved page Reactive Arthritis (Poststreptococcal) to Reactive poststreptococcal arthritis) |
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*Not a/w other Major Jones criteria; milder illness than rheumatic fever | *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) | *Begins approx 10d after strep infection (compared to 21d for rheumatic fever) | ||
*Arthritis | *Arthritis | ||
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**ASA-resistant | **ASA-resistant | ||
*Erythema nodosum and erythema multiforme are frequently seen | *Erythema nodosum and erythema multiforme are frequently seen | ||
==Differential Diagnosis== | |||
==Diagnosis== | |||
==Treatment== | ==Treatment== | ||
*Penicillin if GAS is recovered from the throat | *[[Penicillin]] if GAS is recovered from the throat | ||
*NSAIDs | *[[NSAIDs]] | ||
==Disposition== | ==Disposition== | ||
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
Diagnosis
Treatment
- Penicillin if GAS is recovered from the throat
- NSAIDs
Disposition
- Discharge
See Also
Source
Tintinalli