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Review
. 2019:23:18.304.
doi: 10.7812/TPP/18.304. Epub 2019 Oct 18.

Poststreptococcal Reactive Arthritis: Diagnostic Challenges

Colleen Chun  1 , Daniel J Kingsbury  2
Affiliations
Review

Poststreptococcal Reactive Arthritis: Diagnostic Challenges

Colleen Chun et al. Perm J. 2019.

Abstract

Poststreptococcal reactive arthritis (PSRA) is associated with prior group A β-hemolytic streptococcal infection and has a reported annual incidence of 1 to 2 cases per 100,000 persons, approximately twice that of acute rheumatic fever (ARF) in the US. Children who present with reactive arthritis are not uncommon in a busy general pediatric practice in the US, whereas children who present with ARF are very rare. Distinguishing PSRA from ARF can be challenging because the symptoms and signs are similar, but the diseases differ in long-term therapy, follow-up evaluation, and prognosis. We review the diagnostic criteria for PSRA, the pertinent features of the 2015 ARF diagnostic guideline from the American Heart Association, and the major characteristics that differentiate PSRA from ARF.

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Conflict of interest statement

Disclosure Statement

The author(s) have no conflicts of interest to disclose.

Figures

Figure 1
Figure 1
Revised Jones Criteria Reprinted with permission. Circulation 2015;131:1806–18. © 2015 American Heart Association, Inc.
See this image and copyright information in PMC

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