Post-streptococcal reactive arthritis in children: a distinct entity from acute rheumatic fever

January 2011
Pediatric Rheumatology;2011, Vol. 9 Issue 1, p32
Academic Journal
The article focuses on the differences between post-streptococcal reactive arthritis (PSRA) in children and acute rheumatic fever (ARF). It demonstrates the difference in demographic, clinical, genetic and treatment characteristics of PSRA and those of ARF by discussing three cases including one of an eight-year old boy diagnosed with streptoccocal tonsilitis and arthritis in the right hip and the right knee, another of a 12-year old girl diagnosed with streptoccocal tonsilitis and arthritis of the left knee, and one of a six-year old girl who complained of left knee pain. It is concluded that factors such as clinical findings, response to therapy and the lack of cardiac involvement in above cases support the concept that PSRA is a separate entity from ARF.


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