title: Articular manifestations of rheumatic fever in adults.
abstract: Six adult patients had a syndrome indistinguishable from childhood rheumatic fever, with few cardiac findings and an arthrutis that had a characteristic pattern. The joint disease was abrupt in onset, rapidly additive, and eventually symmetrical, with a lower-extremity, large-joint predominance and a profoundly symptomatic tenosynovitis. Emphasizing the benign prognosis associated with a lack of heart disease and a "typical" pattern of articular involvement, we have reassessed the sensitivity of the traditional diagnostic Jones' criteria and suggest that this syndrome in adults may be more properly termed "poststreptococcal arthritis."
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D001168:Arthritis / Q000175:diagnosis; D001170:Arthritis, Infectious / Q000188:drug therapy / Q000209:etiology*; D001241:Aspirin / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008297:Male; D012213:Rheumatic Fever / Q000150:complications*
chemical_list: D001241:Aspirin