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Table 1 Jones criteria for the diagnosis of acute rheumatic fever (ARF)

From: Post-streptococcal reactive arthritis in children: a distinct entity from acute rheumatic fever

 

The five major manifestations are

1

Polyarthritis (predominantly involving the large joints)

2

Carditis, valvulitis and pericarditis (eg, pancarditis)

3

Central nervous system involvement (eg, Sydenham chorea)

4

Erythema marginatum

5

Subcutaneous nodules

 

The four minor manifestations are

1

Arthralgia

2

Fever

3

Elevated acute phase reactants [erythrocyte sedimentation rate (ESR), C-reactive protein (CRP)]

4

Prolonged PR interval

  1. Supporting evidence of antecedent group A streptococcal infection,»
  2. Postive throat culture or rapid streptococcal antigen test
  3. Elevated or rising streptococcal antibody liter