Rheumatic fever classification: Difference between revisions

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==Overview==
==Overview==
Based on the duration of symptoms, rheumatic fever may be classified into either acute or chronic.<ref name="pmid15468729">{{cite journal| author=Nasonova VA, Kuz'mina NN, Belov BS| title=[Present-day classification and nomenclature of rheumatic fever]. | journal=Klin Med (Mosk) | year= 2004 | volume= 82 | issue= 8 | pages= 61-6 | pmid=15468729 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15468729  }} </ref> Acute rheumatic fever may be characterized by [[Group A beta-hemolytic streptococci|Group A beta-hemolytic streptococcal]] infection and cardiac lesions. Acute Rheumatic fever is diagnosed by JONES criteria.<ref name="pmid25908771">{{cite journal| author=Gewitz MH, Baltimore RS, Tani LY, Sable CA, Shulman ST, Carapetis J et al.| title=Revision of the Jones Criteria for the diagnosis of acute rheumatic fever in the era of Doppler echocardiography: a scientific statement from the American Heart Association. | journal=Circulation | year= 2015 | volume= 131 | issue= 20 | pages= 1806-18 | pmid=25908771 | doi=10.1161/CIR.0000000000000205 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25908771  }} </ref> Chronic rheumatic fever may be characterized by [[heart valve|cardiac valvular]] lesions and [[mitral stenosis]].
Based on the duration of [[symptoms]], rheumatic fever may be classified into either [[acute]] or [[chronic]]. [[Acute]] rheumatic fever may be characterized by [[Group A beta-hemolytic streptococci|Group A beta-hemolytic streptococcal]] [[infection]] and [[cardiac]] lesions. [[Acute]] Rheumatic fever is diagnosed by JONES criteria. [[Chronic]] rheumatic fever may be characterized by [[heart valve|cardiac valvular]] lesions and [[mitral stenosis]].


==Classification==
==Classification==
Based on the duration of symptoms, rheumatic fever may be classified into either acute or chronic.<ref name="pmid15468729">{{cite journal| author=Nasonova VA, Kuz'mina NN, Belov BS| title=[Present-day classification and nomenclature of rheumatic fever]. | journal=Klin Med (Mosk) | year= 2004 | volume= 82 | issue= 8 | pages= 61-6 | pmid=15468729 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15468729  }} </ref>
Based on the duration of [[symptoms]] and the outcome of the disease, rheumatic fever may be classified into either [[acute]] or [[chronic]].<ref name="pmid15468729">{{cite journal| author=Nasonova VA, Kuz'mina NN, Belov BS| title=[Present-day classification and nomenclature of rheumatic fever]. | journal=Klin Med (Mosk) | year= 2004 | volume= 82 | issue= 8 | pages= 61-6 | pmid=15468729 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15468729  }} </ref><ref name="pmid25908771">{{cite journal| author=Gewitz MH, Baltimore RS, Tani LY, Sable CA, Shulman ST, Carapetis J et al.| title=Revision of the Jones Criteria for the diagnosis of acute rheumatic fever in the era of Doppler echocardiography: a scientific statement from the American Heart Association. | journal=Circulation | year= 2015 | volume= 131 | issue= 20 | pages= 1806-18 | pmid=25908771 | doi=10.1161/CIR.0000000000000205 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25908771 }} </ref><ref name="pmid21188002">{{cite journal| author=Shivakumarswamy U, Sinhasan SP, Purushotham R, Nagesha KR| title="MacCallum Plaque of the Heart": A Medicolegal Case. | journal=Heart Views | year= 2010 | volume= 11 | issue= 2 | pages= 71-3 | pmid=21188002 | doi=10.4103/1995-705X.73220 | pmc=3000917 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21188002 }}</ref>
 
===Acute===
Acute rheumatic fever is generally associated with:<ref name="pmid25908771">{{cite journal| author=Gewitz MH, Baltimore RS, Tani LY, Sable CA, Shulman ST, Carapetis J et al.| title=Revision of the Jones Criteria for the diagnosis of acute rheumatic fever in the era of Doppler echocardiography: a scientific statement from the American Heart Association. | journal=Circulation | year= 2015 | volume= 131 | issue= 20 | pages= 1806-18 | pmid=25908771 | doi=10.1161/CIR.0000000000000205 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25908771  }} </ref>


{| style="border: 0px; font-size: 90%; margin: 3px;" align=center
! style="background: #4479BA; padding: 5px 5px;" rowspan=1 | {{fontcolor|#FFFFFF|Types}}
! style="background: #4479BA; padding: 5px 5px;" rowspan=1 | {{fontcolor|#FFFFFF|Characterestics}}
|-
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold;" rowspan="1;"|Acute rheumatic fever
| style="padding: 5px 5px; background: #F5F5F5;" |
*[[Group A beta-hemolytic streptococci|Group A beta-hemolytic streptococcal]] [[pharyngitis]]
*[[Group A beta-hemolytic streptococci|Group A beta-hemolytic streptococcal]] [[pharyngitis]]
*Lesions in the [[endocardium]], [[myocardium]], or [[pericardium]]
*Lesions in the [[endocardium]], [[myocardium]], or [[pericardium]]
*[[MacCallum plaques]]
*Aschoff bodies (histology)
 
|-
===Chronic===
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold;" rowspan="1;" |Chronic rheumatic fever
Chronic rheumatic fever is generally associated with:
| style="padding: 5px 5px; background: #F5F5F5;" |
*[[Heart valve|Cardiac valvular]] [[lesion]]s
* Pancarditis
*[[Mitral stenosis]]
**Cardiac abnormality
***Heart failure and/or stenosis
***[[MacCallum plaques]] (Mural endocardial lesions in the left atrium due to regurgitant blood flow jets from incompetent mitral valve.
**[[Heart valve|Cardiac valvular]] [[lesion]]s
***Postinflammatory marginal fibrosis of valvular leaflets/[[mitral stenosis]] <br />
|-
|}


==References==
==References==
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[[Category:Cardiology]]
[[Category:Cardiology]]
[[Category:Rheumatology]]
[[Category:Rheumatology]]
[[Category:Infectious disease]]
[[Category:Primary care]]
[[Category:Bacterial diseases]]
[[Category:Bacterial diseases]]

Latest revision as of 23:59, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Anthony Gallo, B.S. [2]

Overview

Based on the duration of symptoms, rheumatic fever may be classified into either acute or chronic. Acute rheumatic fever may be characterized by Group A beta-hemolytic streptococcal infection and cardiac lesions. Acute Rheumatic fever is diagnosed by JONES criteria. Chronic rheumatic fever may be characterized by cardiac valvular lesions and mitral stenosis.

Classification

Based on the duration of symptoms and the outcome of the disease, rheumatic fever may be classified into either acute or chronic.[1][2][3]

Types Characterestics
Acute rheumatic fever
Chronic rheumatic fever
  • Pancarditis
    • Cardiac abnormality
      • Heart failure and/or stenosis
      • MacCallum plaques (Mural endocardial lesions in the left atrium due to regurgitant blood flow jets from incompetent mitral valve.
    • Cardiac valvular lesions

References

  1. ↑ Nasonova VA, Kuz'mina NN, Belov BS (2004). "[Present-day classification and nomenclature of rheumatic fever]". Klin Med (Mosk). 82 (8): 61–6. PMID 15468729.
  2. ↑ Gewitz MH, Baltimore RS, Tani LY, Sable CA, Shulman ST, Carapetis J; et al. (2015). "Revision of the Jones Criteria for the diagnosis of acute rheumatic fever in the era of Doppler echocardiography: a scientific statement from the American Heart Association". Circulation. 131 (20): 1806–18. doi:10.1161/CIR.0000000000000205. PMID 25908771.
  3. ↑ Shivakumarswamy U, Sinhasan SP, Purushotham R, Nagesha KR (2010). ""MacCallum Plaque of the Heart": A Medicolegal Case". Heart Views. 11 (2): 71–3. doi:10.4103/1995-705X.73220. PMC 3000917. PMID 21188002.
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