Критерии Джонса для диагностики ревматической лихорадки

Диагностика острой ревматической лихорадки

The diagnosis of acute rheumatic fever requires:

• 2 major, or
• 1 major and 2 minor manifestations, AND
• evidence of group A streptococcal infection

Required Criteria

Evidence of antecedent Strep infection: ASO / Strep antibodies / Strep group A throat culture / Recent scarlet fever / anti-deoxyribonuclease B / anti-hyaluronidase

Major Diagnostic Criteria

• Carditis
• Polyarthritis
• Chorea
• Erythema marginatum
• Subcutaneous Nodules

Minor Diagnostic Criteria

• Fever
• Arthralgia
• Previous rheumatic fever or rheumatic heart disease
• Elevated acute phase reactant (ESR or CRP)
• Prolonged PR interval