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]]. | 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> | ||
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{| style="border: 0px; font-size: 90%; margin: 3px;" align=center | {| 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|Types}} | ||
! style="background: #4479BA; padding: 5px 5px;" rowspan=1 | {{fontcolor|#FFFFFF| | ! 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: #DCDCDC; font-weight: bold;" rowspan="1;"|Acute rheumatic fever | ||
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*[[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]] | ||
* | *Aschoff bodies (histology) | ||
|- | |- | ||
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold;" rowspan="1;" |Chronic rheumatic fever | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold;" rowspan="1;" |Chronic rheumatic fever | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
* [[Heart valve|Cardiac valvular]] [[ | * 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. | |||
**[[Heart valve|Cardiac valvular]] [[lesion]]s | |||
***Postinflammatory marginal fibrosis of valvular leaflets/[[mitral stenosis]] <br /> | |||
|- | |- | ||
|} | |} | ||
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[[Category:Cardiology]] | [[Category:Cardiology]] | ||
[[Category:Rheumatology]] | [[Category:Rheumatology]] | ||
[[Category:Bacterial diseases]] | [[Category:Bacterial diseases]] | ||
Latest revision as of 23:59, 29 July 2020
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Rheumatic fever Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Rheumatic fever classification On the Web |
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American Roentgen Ray Society Images of Rheumatic fever classification |
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Risk calculators and risk factors for Rheumatic fever classification |
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 |
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| Chronic rheumatic fever |
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References
- ↑ 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.
- ↑ 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.
- ↑ 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.