A male aged 18 years p/w complaints of Severe pain in knee joints and following skin manifestation since a week...no other history or examination is remarkable...what is the most probable diagnosis and treatment to this condition
It is erythema marginatum Suggestive of acute rheumatic fever Jones criteria need to be followed to establish diagnosis of acute rheumatic fever They are as follows Preceding streptococcal infection to be established Evidence of preceding group A streptococcal infection - Positive throat culture or rapid antigen test result Elevated or rising streptococcal antibody titer should be present In addition Major criteria are as follows 1) Carditis 2) Polyarthritis 3) Chorea 4) Subcutaneous nodules 5) Erythema marginatum Minor criteria are as follows 1) Polyarthralgia 2) Fever 3) Raised ESR 4) Prolonged PR interval Presence of two major criteria or one major and two minor criteria indicates a high probability of Acute rheumatic fever
It's a case of.. ? Erythema..marginatum..with.. ? Rheumatic fever..arthritis.. Needs clinicopathological evaluation for further management ..
It is erythema marginatum most probably due to rheumatic fever. Long term antibiotics and valve replacement if needed.
Acute urticaria secondary to drugs taken for knee pain ie NSAIDs Injection dexamethasone and inj avil Once acute phase is controlled shift to oral antiallergics and steroids for complete remission
ACUTE RHEUMATIC. FEVER ERYTHEMA MARVINATUM
Erythema marginatum
It is erythema marginatum
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