Diagnosis of rheumatic fever: Current status of Jones criteria and role of echocardiography

@article{Saxena2000DiagnosisOR,
  title={Diagnosis of rheumatic fever: Current status of Jones criteria and role of echocardiography},
  author={A. Saxena},
  journal={The Indian Journal of Pediatrics},
  year={2000},
  volume={67},
  pages={283-286}
}
  • A. Saxena
  • Published 2000
  • Medicine
  • The Indian Journal of Pediatrics
The original Jones Criteria as proposed by Dr. T. Duckett Jones have been modified four times and the updated revised criteria were published in 1992. According to this latest publication major manifestations are carditis, polyarthritis, chorea, erythema marginatum and subcutaneous nodules. Minor manifestations include fever, arthralgia and laboratory findings of elevated erythrocyte sedimentation rate, C-reactive protein and prolonged PR interval on ECG. For making a diagnosis of acute… Expand
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References

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TLDR
The Jones criteria for guidance in the diagnosis of acute rheumatic fever were first published by T. Duckett Jones, MD, in 1944 are updated and clarify the available antibody tests for detecting antecedent group A streptococcal infection. Expand
Does Endomyocardial Biopsy Aid in the Diagnosis of Active Rheumatic Carditis?
TLDR
The present study highlights the low frequency of diagnostic features in the biopsy specimens of patients with definite clinical rheumatic carditis, and substantiates the concept of carditis underlying unexplained congestive heart failure of acute onset in patients with preexisting r heumatic heart disease and elevated antistreptolysin- O titers. Expand
Doppler echocardiography and the early diagnosis of carditis in acute rheumatic fever.
TLDR
Doppler echocardiography is more sensitive than clinical assessment in the detection of carditis in acute rheumatic fever, and can contribute to earlier diagnosis. Expand
Echocardiographic evaluation of patients with acute rheumatic fever and rheumatic carditis.
TLDR
In patients with rheumatic carditis, the mitral valve is most often involved and mitral regurgitation is the most common finding on color flow imaging, and the study failed to reveal any incremental diagnostic utility of echocardiography and Doppler color flow Imaging in rhematic fever without clinical evidence of carditis. Expand
The diagnosis of rheumatic fever--evolution of the Jones criteria.
TLDR
The evolution of the Jones criteria is traced, and the nature of the subsequent changes are assessed to avoid the often unnecessary and at times violent emotional and psychological suffering among patients and parents. Expand
Occurrence of valvar heart disease in acute rheumatic fever without evident carditis: colour-flow Doppler identification.
TLDR
Colour flow Doppler imaging is a useful method of identifying subclinical mitral and aortic valvar disease at all stages of rheumatic fever when carditis cannot be otherwise detected and is a valuable addition to current diagnostic criteria. Expand
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TLDR
The incidence of acute rheumatic fever has been declining since the peak of the outbreak in 1985 but is continuing in the intermountain area at rates comparable to those of the 1960s. Expand
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TLDR
If salicylates or steroids are administered prematurely, ie, before the signs and symptoms of rheumatic fever are fully recognizable, a vague syndrome may develop and elicit an uncertain diagnosis and improper treatment. Expand
Resurgence of acute rheumatic fever in the intermountain area of the United States.
TLDR
An outbreak of acute rheumatic fever that occurred in the intermountain area centered in Salt Lake City, Utah from January 1985 through June 1986 is described and it is concluded that acute r heumatic fever remains an important health problem in the United States. Expand
Differentiation of patients with rheumatic fever from those with inactive rheumatic heart disease using the artificial subcutaneous nodule test, myocardial reactive antibodies, serum immunoglobulin and serum complement levels.
TLDR
A combination of three variables (artificial subcutaneous nodules, IgA, and C3) had a sensitivity of 87% and a specificity of 100% for rheumatic fever and a sensitivity and specificity of 84% and 84% respectively. Expand
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