What are the diagnostic criteria for acute rheumatic fever?

Acute rheumatic fever has different diagnostic criteria, including typical acute rheumatic fever and atypical acute rheumatic fever.

1. Typical acute rheumatic fever

Clinically, the revised Jones diagnostic criteria are often used to judge whether there is typical acute rheumatic fever, such as multiple arthritis, subcutaneous nodules or annular erythema, and there is a history of rheumatic fever or symptoms such as arthralgia and fever. It can be combined with laboratory test results, such as ESR increased, ASO increased, CRP positive, anemia, 2

, atypical acute rheumatic fever

If it is atypical acute rheumatic fever, it can be diagnosed from many aspects, including mild carditis symptoms, such as dizziness, fatigue, palpitations, etc.; The diagnosis can be basically confirmed by positive antibodies to group A streptococcal wall polysaccharides and procoagulant activity of peripheral blood lymphocytes, mild cardiac inflammation detected by echocardiography and cardiac radionuclide examination, and sensitivity of rheumatic arthritis to aspirin detected by experimental treatment.