Poststreptococcal reactive arthritis in children: is it really a different entity from rheumatic fever?
- 1 June 2002
- journal article
- research article
- Published by Springer Nature in Rheumatology International
- Vol. 22 (2) , 80-83
- https://doi.org/10.1007/s00296-002-0201-3
Abstract
Poststreptococcal reactive arthritis (PSRA) is an acute, nonsuppurative arthritis following documented streptococcal infections. Although most authors accepted it as a different entity, the differences from acute rheumatic fever (ARF) are not clear. To document and compare the clinical and laboratory characteristics of PSRA and ARF, 24 patients with PSRA and 20 with ARF were enrolled in the study. The latency period from upper respiratory tract infection was shorter in patients with PSRA (PP<0.001). However, in a substantial part of the patients with ARF (nine patients, 45%), joint symptoms also had no response during the first 72 h. Since there is a considerable overlap of symptoms, signs, and laboratory features of PSRA and ARF, a line between these two entities could not be easily drawn. We conclude that these two conditions are actually different presentations of the same disease.Keywords
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