A Case of Poststreptococcal Reactive Polyarthralgia |
Sung Ho Cha1, Byong Soo Cho1, Taekyu Hame2 |
1Department of Pediatrics, College of Medicine, Kyung Hee University, Seoul, Korea 2Department of Pediatrics, Dong Suwon Hospital, Su Won, Korea |
연쇄상구균 감염후에 유발된 반응성 다발성 관절통 1례 |
차성호1, 조병수1, 함태규2 |
1경희대학교 의과대학 소아과학교실 2동수원병원 소아과 |
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Abstract |
Poststreptococcal reactive arthritis/arthralgia is characterized as an evidence of group A beta hemolytic streptococcal infection and does not fulfill the modified Jones criteria for a diagnosis of acute rheumatic fever. We had used to meet the patients with incomplete acute rheumatic fever who had more than 3 items of minor Jones criteria, or arthralgia or arthritis with one or two minor signs of criteria for a diagnosis of acute rheumatic fever. We sometimes were in the dilemma on such cases. We suggest that poststreptococcal reactive arthritis/arthralgia may be a variant of acute rheumatic fever that need secondary chemoprophylaxis by at least 20 years old or additional 15 years chemoprophylaxis from onste of their age. |
Key Words:
Group A bete hemolytic streptococcus, Reactive arthritis/arthralgia |
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