title: Diagnosis of rheumatic fever obscured by liver disease.
abstract: Two children with acute rheumatic fever had concurrent liver disease which obscured their diagnosis. One patient had evidence of viral hepatitis and the other apparently had liver toxicity from high doses of aspirin. The differential diagnosis of arthritis with liver disease must include acute rheumatic fever.
mesh_terms: D000293:Adolescent; D001168:Arthritis / Q000175:diagnosis; D056486:Chemical and Drug Induced Liver Injury; D002648:Child; D003937:Diagnosis, Differential; D006525:Hepatitis, Viral, Human / Q000150:complications / Q000175:diagnosis; D006801:Humans; D008107:Liver Diseases / Q000150:complications / Q000175:diagnosis*; D008297:Male; D009205:Myocarditis / Q000150:complications / Q000175:diagnosis; D012213:Rheumatic Fever / Q000150:complications / Q000175:diagnosis*