7. Classically migratory, transient, asymmetric polyarthritis
Large to mid peripheral joints – knees, ankles (talar and subtalar), wrists, elbows, MCP, MTP
Monoarthritis in 17% of
presentations – including hip
Often intense pain – limited passive
movement
Transient - 2 days to 3 weeks
Dramatic response to salicylates

8. Monoarthritis - red, swollen, hot

9. Beware septic arthritis !

10. Right sided lesions rare in isolation Stenosis late complication
Pan-carditis
Pericardium, myocardium, endocardium
Valve lesions most prominent clinically
Mitral regurgitation
Aortic regurgitation
Right sided lesions rare
in isolation
Stenosis late
complication

17. Plus evidence GAS infection

25. Making a difference Prevent in the first place
Early and accurate diagnosis and management
Prevent recurrences