Post-infectious Arthritis and Related Conditions
- Alberto MartiniAffiliated withFaculty of Medicine, Umm Al-Qura UniversityPediatria II, Reumatologia, IRCCS G. Gaslini Email author
In some instances, arthritis is not due to the direct invasion of the joint by the pathogen but rather to the immune response against the infectious agents. In this case, the eliciting infection precedes by a few weeks the onset of symptoms.
Acute rheumatic fever (ARF) is a classical post-infectious disease and arthritis is an integral part of its clinical picture (see Chap. 153, “Clinical Approach to a Child with Suspected Rheumatic Diseases”). Arthritis in ARF affects the large joints, is migratory, is characterized by pain, limitation of motion and limited joint swelling and is very sensitive to the treatment with non-steroidal anti-inflammatory drugs.
Post-streptococcal arthritis refers to a post-streptococcal syndrome characterized by an arthritis that is persistent rather than migratory, is less responsive to non-steroidal anti-inflammatory drugs, and occurs in patients whose illness does not fulfil the Jones criteria for the ...
- Post-infectious Arthritis and Related Conditions
- Reference Work Title
- Textbook of Clinical Pediatrics
- pp 1611-1613
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- Online ISBN
- Springer Berlin Heidelberg
- Copyright Holder
- Springer-Verlag Berlin Heidelberg
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- Editor Affiliations
- 1. Faculty of Medicine, Umm Al-Qura University
- 2. National Center of Allergy, Asthma & Immunology (NCAAI)
- 3. Consultant Pediatric Gastroenterology & Hepatology, Islamic Hospital
- 4. Seattle Children's Hospital University of Washington, School of Medicine
- 5. Alpert Medical School of Brown University, Woman and Infants Hospital
- 6. University of Alabama
- Alberto Martini (1)
- Author Affiliations
- 1. Pediatria II, Reumatologia, IRCCS G. Gaslini, Largo G. Gaslini 5, 16147, Genoa, Italy
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