Rheumatic fever classification: Difference between revisions
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! 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}} | ||
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| 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) | |||
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| 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 | ||
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**Cardiac abnormality | **Cardiac abnormality | ||
***Heart failure and/or stenosis | ***Heart failure and/or stenosis | ||
***[[MacCallum plaques]] (histology) | |||
**[[Heart valve|Cardiac valvular]] [[lesion]]s | **[[Heart valve|Cardiac valvular]] [[lesion]]s | ||
***Postinflammatory marginal fibrosis of valvular leaflets/[[mitral stenosis]] <br /> | ***Postinflammatory marginal fibrosis of valvular leaflets/[[mitral stenosis]] <br /> | ||
Revision as of 16:56, 6 January 2020
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Rheumatic fever Microchapters |
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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.[1] Acute rheumatic fever may be characterized by Group A beta-hemolytic streptococcal infection and cardiac lesions. Acute Rheumatic fever is diagnosed by JONES criteria.[2] 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]
Acute
Acute rheumatic fever is when the outcome is recovery with:
- Complete regression of the clinical symptoms
- Normalization of the lab parameters
- No residual change
Acute rheumatic fever is generally associated with:[2]
- Group A beta-hemolytic streptococcal pharyngitis
- Lesions in the endocardium, myocardium, or pericardium
- Aschoff bodies (histology)
Chronic
Chronic rheumatic fever is generally associated with:
- MacCallum plaques (histology)
- Pancarditis
- Cardiac abnormality
- Heart failure and/or stenosis
- Cardiac valvular lesions
- Postinflammatory marginal fibrosis of valvular leaflets/mitral stenosis
| Types | Characterestics |
|---|---|
| Acute rheumatic fever |
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| Chronic rheumatic fever |
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References
- ↑ 1.0 1.1 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.
- ↑ 2.0 2.1 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.