Diagnosis

Jones

• Major

  • Carditis

    • including subclinical rheumatic valve disease

  • Polyarthritis

    • or aseptic monoarthritis with history of NSAID use

  • Chorea

    • can be stand alone for ARF

  • Erythema marginatum

  • Subcutaneous nodules

• Minor

  • Fever

  • Raised ESR or CRP

  • Polyarthralgia

  • Prolonged P-R interval on ECG

• Definite

  • 2 major or 1 major and 2 minor

  • plus evidence of preceding GAS

• Probable

  • 1 major and 2 minor with GAS as minor crieteria

• Possible

  • strong suspicion but insufficient signs and symptoms to fulfil diagnosis of definite or probable ARF