Arthritis has been reported as an acute pattern, generally evanescent with oligoarthritis, mostly affecting knees and ankles in childhood systemic polyarteritis nodosa. However, chronic polyarthritis with morning stiffness mimicking juvenile idiopathic arthritis has not been reported. We describe the case of a 4-year old girl who had additive and chronic polyarthritis with edema, tenderness, pain on motion and morning stiffness for 2 months. After 45 days, she also presented painful subcutaneous nodules and erythematous-violaceous lesions in the extensor region of upper and lower limbs. She was admitted to university hospital due to high fever, malaise, myalgia, anorexia, loss of weight 1kg , painful skin lesions and severe functional disability. She was bedridden by chronic polyarthritis with limitation on motion.

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Antistreptolysin O titer profile in acute rheumatic fever diagnosis. METHODS: we investigated 78 patients with ARF at onset and follow-up, 22 with isolated chorea at onset, 45 with recurrent oropharyngeal tonsillitis, and 23 with recent flare of juvenile idiopathic arthritis. Baseline levels were observed afterwards in patients under regular penicillin prophylaxis. Keywords: arthritis, rheumatic fever, antistreptolysin, chorea.

Rev Bras Reumatol Supl ; S Rev Ass Med Brasil ; Kiss MHB. Post streptococcal reactive arthritis in children: a potential predecessor of rheumatic heart disease. J Rheumatol ; Acute rheumatic fever or post-streptococcal reactive arthritis: a clinical problem revisited.

Br J Rheumatol ; J Pediatr Rio J ; Massell BF. Confirmation of haemolytic streptococcus hypothesis. In: Massell BF, ed. Rheumatic Fever and Streptococcal Infection. Unravelling the mysteries of a dread disease. Boston: Harvard University Press; Laboratory diagnosis of group A streptococcal infections. Geneva Switzerland : World Health Organization; Special writing group of the committee on rheumatic fever, endocarditis and Kawasaki disease of the Council on Cardiovascular Disease in the Young of the American Heart Association.

JAMA ; Revision of the proposed classification criteria for juvenile idiopathic arthritis: Durban, Todd EW. Antihaemolysin titres in haemolytic streptococcal infections and their significance in rheumatic fever. Br J Exp Path ; Rantz LA, Randall E. Modification of the technique for determination of Antistreptolysin titres. Proc Soc Exp Biol Med ; Rheumatic Fever. The relationship between host, microbe and genetics.

Rheum Dis Clin North Am ; Evaluation of streptococcal deoxyribonuclease B and diphosphopyridine nucleotidase antibody tests in acute rheumatic fever and acute glomerulonephritis. Pediatrics , Acute rheumatic fever and poststreptococcal glomerulonephritis in an open population: comparative studies of epidemiology and bacteriology. J Lab Clin Med ; Homer C, Shulman ST. Clinical aspects of rheumatic fever. J Rheumatol Suppl ; Application of antistreptolysin O titres in the evaluation of joint pain and in the diagnosis of rheumatic fever.

N Eng J Med ; Taranta A, Stollerman GH. Am J Med ; Stollerman GH. Rheumatic fever. Lancet ; Appl Microbiol ; Age-related variations in anti-streptococcal antibody levels. Mhalu FS, Matre R. Antistreptolysin O and antideoxyribonuclease B titres in blood donors and in patients with features of nonsuppurative sequelae of group A streptococcus infection in Tanzania. E Afr Med J ; Rev Bras Reumatol Supl ; Arthritis Rheum Suppl ; S Antistreptolysin O and anti-deoxyribonuclease B titres: normal values for children ages 2 to 12 in the United States.

Pediatrics ; Wannamaker LW. Perplexity and precision in the diagnosis of streptococcal pharyngitis. Am J Dis Child ; The immunologic response to group A streptococcal upper respiratory tract infections in very young children. J Pediatr ; 96 part 1: Treatment of acute streptococcal pharyngitis and prevention of rheumatic fever: a statement for health professionals.

Juvenile Rheumatoid Arthritis. Textbook of Pediatric Rheumatology. Philadelphia: WB Saunders; The sensitivity of an agglutination test for antibodies to streptococcal extracellular antigens: a quantitative analysis and comparison of the Streptozyme test with the anti-streptolysin O and anti-deoxyribonuclease B tests. Wolfe RR. Incidence of acute rheumatic fever: a persistent dilemma. Interpreting a single antistreptolysin O test: a comparison of the "upper limit of normal" and likelihood ratio methods.

J Clin Epidemiol ; Claudia S. Machado Depto. All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License.

Services on Demand Journal. Carlos Gomes, cj. How to cite this article.


Chronic Polyarthritis as the First Manifestation of Childhood Systemic Polyarteritis Nodosa



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