Rheumatic fever classification: Difference between revisions

Jump to navigation Jump to search
m (Bot: Removing from Primary care)
 
(11 intermediate revisions by 2 users not shown)
Line 4: Line 4:


==Overview==
==Overview==
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> [[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]].<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> [[Chronic]] rheumatic fever may be characterized by [[heart valve|cardiac valvular]] lesions and [[mitral stenosis]].
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]] 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>
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>
 
===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:<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>
 
*[[Group A beta-hemolytic streptococci|Group A beta-hemolytic streptococcal]] [[pharyngitis]]
*Lesions in the [[endocardium]], [[myocardium]], or [[pericardium]]
*[[MacCallum plaques]]
 
===Chronic===
[[Chronic]] rheumatic fever is generally associated with:
*Cardiac abnormality
**Heart failure and/or stenosis
*[[Heart valve|Cardiac valvular]] [[lesion]]s
**Postinflammatory marginal fibrosis of valvular leaflets/[[mitral stenosis]]
 
 
 
 


{| 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|Association}}
! 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
Line 41: Line 17:
*[[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]]
*[[MacCallum plaques]]
*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]] [[Lesion|lesions]]
* Pancarditis
* [[Mitral stenosis]]
**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 />
|-
|-
|}
|}
Line 55: Line 35:
[[Category:Cardiology]]
[[Category:Cardiology]]
[[Category:Rheumatology]]
[[Category:Rheumatology]]
[[Category:Primary care]]
[[Category:Bacterial diseases]]
[[Category:Bacterial diseases]]

Latest revision as of 23:59, 29 July 2020

Rheumatic fever Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Rheumatic Fever from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

Jones Criteria

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Case Studies

Case #1

Rheumatic fever classification On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Rheumatic fever classification

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Rheumatic fever classification

CDC on Rheumatic fever classification

Rheumatic fever classification in the news

Blogs on Rheumatic fever classification

Directions to Hospitals Treating Rheumatic fever

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
Chronic rheumatic fever
  • 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.
    • Cardiac valvular lesions

References

  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. 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.
  3. 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.