• 1

    Jones TD: Diagnosis of rheumatic fever. .JAMA 126::481. ,1944. .

  • 2

    Olivier C: Rheumatic fever: is it still a problem?. J Antimicrob Chemother 45::13. ,2000. .

  • 3

    Gibofsky A, Zabriskie JB: “Rheumatic Fever,” in Primer on the Rheumatic Diseases, 11th Ed, p 212, Arthritis Foundation, Atlanta. ,1997. .

    • PubMed
    • Export Citation
  • 4

    Dajani AS, Ayoub EM, Bierman Z, et al: Guidelines for the diagnosis of rheumatic fever: Jones criteria 1992 update. .JAMA 268::2069. ,1992. .

  • 5

    Goldsmith DP, Long SS: Poststreptococcal disease of childhood: a changing syndrome. .Arthritis Rheum 25::S18. ,1982. .

  • 6

    Arnold MH, Tyndall A: Poststreptococcal reactive arthritis. .Ann Rheum Dis 48::686. ,1989. .

  • 7

    Iglesias-Gamarra A, Mendez EA, Cuellar ML, et al: Poststreptococcal reactive arthritis in adults: long-term follow-up. .Am J Med Sci 321::173. ,2001. .

  • 8

    Ayoub EM, Majeed HA: Poststreptococcal reactive arthritis. .Curr Opin Rheumatol 12::306. ,2000. .

  • 9

    Kingsley G, Sieper J: Current perspectives in reactive arthritis. .Immunol Today 14::387. ,1993. .

  • 10

    Aviles RJ, Ramakrishna G, Mohr DN, et al: Poststreptococcal reactive arthritis in adults: a case series. .Mayo Clin Proc 75::144. ,2000. .

  • 11

    Deighton C: Beta haemolytic streptococci and reactive arthritis in adults. .Ann Rheum Dis 52::475. ,1993. .

  • 12

    Jansen TL, Janssen M, de Jong AJ, et al: Post-streptococcal reactive arthritis: a clinical and serological description, revealing its distinction from acute rheumatic fever. .J Intern Med 245::261. ,1999. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13

    Ahmed S, Ayoub EM, Scornik JC, et al: Poststreptococcal reactive arthritis: clinical characteristics and association with HLA-DR alleles. .Arthritis Rheum 41::1096. ,1998. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14

    Tutar E, Atalay S, Yilmaz E, et al: Poststreptococcal reactive arthritis in children: is it really a different entity from rheumatic fever?. Rheumatol Int 22::80. ,2002. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15

    Kocak G, Imamoglu A, Tutar HE, et al: Poststreptococcal reactive arthritis: clinical course and outcome in 15 patients. .Turk J Pediatr 42::101. ,2000. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16

    Shulman ST, Ayoub EM: Poststreptococcal reactive arthritis. .Curr Opin Rheumatol 14::562. ,2002. .

  • 17

    Gutierrez-Urena S, Molina J, Molina JF, et al: Poststreptococcal reactive arthritis, clinical course, and outcome in 6 adult patients. .J Rheumatol 22::1710. ,1995. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18

    Kobayashi S, Tamura N, Ikeda M, et al: Uveitis in adult patients with poststreptococcal reactive arthritis: the first two cases reported associated with uveitis. .Clin Rheumatol 21::533. ,2002. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19

    Bont L, Brus F, Dijkman-Neerincx RHM, et al: The clinical spectrum of post-streptococcal syndromes with arthritis in children. .Clin Exp Rheumatol 16::750. ,1998. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 20

    Schattner A: Poststreptococcal reactive rheumatic syndrome. .J Rheumatol 23::1297. ,1996. .

  • 21

    Moon RY, Greene MG, Rehe GT, et al: Poststreptococcal reactive arthritis in children: a potential predecessor of rheumatic heart disease. .J Rheumatol 22::529. ,1995. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 22

    DeCunto CL, Giannini EH, Fink CW, et al: Prognosis of children with poststreptococcal reactive arthritis. .Pediatr Infect Dis J 7::683. ,1988. .

  • 23

    Dajani A, Taubert K, Ferrieri P, et al: Treatment of acute streptococcal pharyngitis and prevention of rheumatic fever: a statement for health professionals. .Pediatrics 96::758. ,1995. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Birdi N, Allen U, D’Astous J: Poststreptococcal reactive arthritis mimicking acute septic arthritis: a hospital-based study. .J Pediatr Orthop 15::661. ,1995. .

    • PubMed
    • Search Google Scholar
  • Birdi N, Hosking M, Clulow MK, et al: Acute rheumatic fever and poststreptococcal reactive arthritis: diagnostic and treatment practices of pediatric subspecialists in Canada. .J Rheumatol 28::1681. ,2001. .

    • PubMed
    • Search Google Scholar
  • Howell EE, Bathon J: A case of post-streptococcal reactive arthritis. .Md Med J 48::292. ,1999. .

    • PubMed
    • Search Google Scholar
  • Jansen TL, Hoekstra PJ, Bijzet J, et al: Elevation of D8/17-positive B lymphocytes in only a minority of Dutch patients with post-streptococcal reactive arthritis (PSRA): a pilot study. .Rheumatology 41::1202. ,2002. .

    • PubMed
    • Search Google Scholar
  • Jansen TL, Janssen M, de Jong AJ: Reactive arthritis associated with group C and group G beta-hemolytic streptococci. .J Rheumatol 25::1126. ,1998. .

    • PubMed
    • Search Google Scholar
  • Jansen TL, Janssen M, Van Riel PL: Acute rheumatic fever or post-streptococcal reactive arthritis: a clinical problem revisited. .Br J Rheumatol 37::335. ,1998. .

    • PubMed
    • Search Google Scholar
  • Lehman TJA, Edelheit BS: Clinical trials for post-streptococcal reactive arthritis. .Curr Rheumatol Rep 3::363. ,2001. .

    • PubMed
    • Search Google Scholar
  • Powell RJ, Jenkins S: Poststreptococcal reactive arthritis. .Ann Rheum Dis 49::270. ,1990. .

  • Valtonen JMO, Koskimies S, Miettinen A, et al: Various rheumatic syndromes in adult patients associated with high antistreptinolysin O titres and their differential diagnosis with rheumatic fever. .Ann Rheum Dis 52::527. ,1993. .

    • PubMed
    • Search Google Scholar
  • Visser H, Speyer I, Ozcan B, et al: The diagnostic value of streptococcal serology in early arthritis: a prospective cohort study. .Rheumatology 39::1351. ,2000. .

    • PubMed
    • Search Google Scholar

Poststreptococcal Reactive Arthritis

Daniel Logan Section of Foot and Ankle, Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH. Dr. Logan is now in private practice with Foot and Ankle Specialists of Central Ohio, Gahanna.

Search for other papers by Daniel Logan in
Current site
Google Scholar
PubMed
Close
 DPM
and
Patrick J. McKee Section of Foot and Ankle, Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH. Dr. Logan is now in private practice with Foot and Ankle Specialists of Central Ohio, Gahanna.

Search for other papers by Patrick J. McKee in
Current site
Google Scholar
PubMed
Close
 DPM

Acute rheumatic fever is a delayed inflammatory disease that follows streptococcal infection of the throat. Poststreptococcal reactive arthritis is a sterile arthritis associated with antecedent streptococcal infection in patients not fulfilling the Jones criteria for acute rheumatic fever. Poststreptococcal reactive arthritis has been reported to have lower-extremity predominance and, therefore, should be included in the differential diagnosis of patients with lower-extremity arthritis. A review of the literature, distinguishing poststreptococcal reactive arthritis from acute rheumatic fever, and treatment options are discussed here. A case report is also presented. (J Am Podiatr Med Assoc 96(4): 362–366, 2006)

Corresponding author: Daniel Logan, DPM, 426A Beecher Rd, Gahanna, OH 43230.
Save