ACUTE RHEUMATIC FEVER

Question 0

Risk factors?

Answer 0

Previous acute rheumatic fever
Overcrowding
FHx
Group A streptococcal upper respiratory infection

Question 1

Who gets ARF?

Answer 1

Indigenous Australians

Affects children ~ 10years old, but can get recurrent episodes

Question 2

Clinical presentation?

Answer 2

Cardiovascular: pan carditis
- valvular damage: MR or AR

RHEUMATOLOGICAL
- migratory arthritis: highly responsive to NSAIDs

Chorea
- affects hands feet and TONGUE (darting)

Dermatological

• erythema marginatum
• subcutaneous nodules (aboriginals)