Poststreptococcal reactive arthritis: what is it and how do we know?
نویسندگان
چکیده
OBJECTIVE To find out whether poststreptococcal reactive arthritis (PSRA) is a discrete, homogeneous clinical syndrome. METHOD Literature review from case reports and case series. RESULTS One hundred and eighty-eight cases were identified. The age distribution was bimodal, with one peak in childhood and one peak in adulthood. Eighty-three percent of streptococcal isolates were group A. The clinical presentation was heterogeneous but appeared different both from that of acute rheumatic fever (ARF) and from that of HLA B27-associated reactive arthritis. Carditis was rare. CONCLUSIONS The term PSRA encompasses significant heterogeneity. The link between the arthritis and the streptococcal infection is unproven.
منابع مشابه
[Poststreptococcal reactive arthritis].
Reactive arthritis is defined as arthritis of 1 or more joints, in association with infection at a distant site, but without the infective agent being found in the synovial fluid. Patients with Group A beta-hemolytic streptococcal infection and articular disease, who do not fulfill the modified Jones criteria for diagnosis of acute rheumatic fever, have been classified as having poststreptococc...
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It is controversial whether poststreptococcal reactive arthritis (PSReA) is an entity separate from acute rheumatic fever (ARF) or is a forme fruste of ARF. Although there are many case series of PSReA in children, this entity is not common in adults. We describe an adult patient with polyarthritis and thoracic spine involvement attributed to PSReA.
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ورودعنوان ژورنال:
- Rheumatology
دوره 43 8 شماره
صفحات -
تاریخ انتشار 2004