A retrospective study: Acute rheumatic fever and post-streptococcal reactive arthritis in Japan

Sato, Satoshi; Uejima, Yoji; Suganuma, Eisuke; Takano, Tadamasa; Kawano, Yutaka

doi:10.1016/j.alit.2017.04.001

Cited by 12 publications

(16 citation statements)

References 15 publications

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“…None had any residual joint damage or deformity. No extra‐articular feature such as carditis was seen, a findings similar to that described by Sato et al from Japan . As per decription in literature, PSRA is a rare but benign disease with varied clinical manifestations.…”

supporting

confidence: 83%

Clinical spectrum of post‐streptococcal reactive arthritis (PSRA) revisited: Juvenile versus adult‐onset disease

Padhan

Danda

2019

Int J of Rheum Dis

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supporting

confidence: 83%

Clinical spectrum of post‐streptococcal reactive arthritis (PSRA) revisited: Juvenile versus adult‐onset disease

Padhan

Danda

2019

Int J of Rheum Dis

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“…In this point, we hypothesize that late onset arthritis with KD resembles their clinical character with reactive arthritis. Reactive or post-infectious arthritis is an inflammatory, asymmetric, aseptic arthritis associated with certain infections, particularly in susceptible individuals for Streptococcus, Chlamydia, Salmonella, Shigella, Campylobacter, and Yersinia (6,10,11). Reactive arthritis develops within 1~4 weeks after the primary infection.…”

Section: Discussionmentioning

confidence: 99%

Clinical Significance of Late Onset Arthritis in Kawasaki Disease

et al. 2019

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Objectives: The aim of this study was to report the prevalence, clinical course, and sequela of arthritis in Kawasaki disease (KD), and to establish its relationship to coronary outcomes. Methods: We retrospectively reviewed the records of 524 patients between March 2006 and February 2016. Results: The overall prevalence of arthritis was 17.6 % (n = 92/524) and among them, 21 cases (22.8%) had late-onset arthritis and they were older (32.7 ± 12.1 vs. 62.5 ± 23.8 months), had longer fever duration (5.8 ± 1.94 vs. 7.11 ± 2.51 days), more frequent swelling or redness of extremities (35.2 vs. 71.5%), higher neutrophil counts (58.69 ± 13.84 vs. 72.16 ± 16.43%), and higher prohormone brain-type natriuretic peptide levels (ProBNP, 1343.80 ± 1080.44 vs. 3754.42 ± 4272.71 pg/mL) than patients with early onset arthritis. Coronary artery changes were not different and no patients complained of chronic arthritic changes, regardless of arthritis type. Conclusions: Although late-onset arthritis was found in KD patients who were older with longer fever duration, more frequent swelling or redness of extremities, higher neutrophil counts, and higher ProBNP levels than early-onset arthritis patients, there was no statistical significance between arthritis onset type and coronary artery changes, and outcomes were excellent with no chronic arthritis change.

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“…PSRA is defined as arthritis in one or more joints in a patient who does not fulfill the Jones criteria for a diagnosis of ARF. Some authors consider PSRA as part of the spectrum of ARF, while other authors consider it as a different entity [13].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of etiology, clinical and laboratory data of childhood arthritis

Dedeoğlu

Sarı

Şenel

et al. 2019

Turkish Journal of Clinics and Laboratory

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Aim:The aim of the present study was to evaluate the etiologies, diagnostic approach, clinical and laboratory data of patients with arthritis in a Turkish tertiary care hospital in children.Material and Methods: 306 hospitalized children aged between 7 months-18 years, diagnosed with arthritis were included in the study between 2008 -2013. The medical records of patients were reviewed retrospectively.Results: Of the patients, 51.6% were female, 48.4% were male. The average age was 118 months. Arthritis was symmetrical type in 29.4% of patients and asymmetrical type in 70.6%. The diagnoses of patients were Acute Rheumatic Fever/ Poststreptococcal reactive arthritis (ARF/PSRA) (39.2%), Collagen Tissue Disorders (CTD) (29%), Brucellar arthritis (13.4%), reactive arthritis (12.5%), septic arthritis (5.2%) and arthritis secondary to malignancy (0.7%), respectively. Of the patients with CTD; Juvenil idiopathic arthritis (JIA) was the most common in frequency (66.3%). Patellar joint involvement was the most common in frequency (62.4%). The mean ASO levels was significantly higher in patients with ARF/PSRA group [p=0.000]. Average leucocyte count of ARF/PSRA group was significantly higher than CTD group [p=0.000]. Average neutrophil percentage was significantly higher in ARF/PSRA group than brucellar arthritis group [p=0.000]. The mean duration of diagnosis and therapy was found to be significantly longer in patients with CTD [p=0.000]. All patients were cured except one patient with brucellar arthritis. Conclusion:Arthritis can be a manifestation of multiple disease processes in children. Therefore, the clinician must consider a broad differential diagnosis. Detail history and physical examination with a clinical follow-up in addition to useful laboratory testing may help to establish the cause of arthritis in children.

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A retrospective study: Acute rheumatic fever and post-streptococcal reactive arthritis in Japan

Cited by 12 publications

References 15 publications

Clinical spectrum of post‐streptococcal reactive arthritis (PSRA) revisited: Juvenile versus adult‐onset disease

Clinical spectrum of post‐streptococcal reactive arthritis (PSRA) revisited: Juvenile versus adult‐onset disease

Clinical Significance of Late Onset Arthritis in Kawasaki Disease

Evaluation of etiology, clinical and laboratory data of childhood arthritis

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