Wednesday 23 April 2014

Acute rheumatic fever (ARF): Diagnosis (criteria)



Previously, diagnosis of rheumatic fever is usually made using the Jones criteria. Later, further updated versions of Jones criteria is established with some improvements made, including those modified by WHO. Currently, there are newer criteria made with further modification of Jones criteria which is the Australian guideline for the diagnosis of rheumatic fever. These modifications are made to improve the sensitivity of previous criteria in diagnosing rheumatic fever as it has been noticed that quiet a number of ARF cases do not fulfill the diagnostic criteria of rheumatic fever.

Initial Jones criteria

Exception criteria is added later

WHO criteria add specific criteria for recurrent ARF with established RHD-rheumatic heart disease

Recent Australian guideline - as to improve sensitivity of previous WHO criteria




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