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."
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McDANALD EC, WEISMAN MH. Articular Manifestations of Rheumatic Fever in Adults. Ann Intern Med. 1978;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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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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