E. CHESTER McDANALD, M.D.; MICHAEL H. WEISMAN, M.D.
Six adult patients had a syndrome indistinguishable from childhood rheumatic fever, with few cardiac findings and an arthritis that had a characteristic pattern. The joint disease was abrupt in onset, rapidly additive, and eventually symmetrical, with a lower-extremity, large-joint predominance and a profoundly symptomatic tenosynovitis. Emphasizing the benign prognosis associated with a lack of heart disease and a "typical" pattern of articular involvement, we have reassessed the sensitivity of the traditional diagnostic Jones' criteria and suggest that this syndrome in adults may be more properly termed "poststreptococcal arthritis."
McDANALD EC, WEISMAN MH. Articular Manifestations of Rheumatic Fever in Adults. Ann Intern Med. ;89:917–920. doi: 10.7326/0003-4819-89-6-917
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Published: Ann Intern Med. 1978;89(6):917-920.
Infectious Disease, Rheumatology, Streptococcal Infections.
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