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A Case of Poststreptococcal Reactive Polyarthralgia

Journal of the Korean Pediatric Society 1993;36(11):1635-1637.
Published online November 15, 1993.
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
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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