PEDIATRICS Vol. 23 No. 5 May 1959, pp. 879-884
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THE NATURE OF SCARLATINAL ARTHRITIS

Maria A. Crea M.D.1 and Edward A. Mortimer Jr. M.D.1

1 Department of Pediatrics, Western Reserve University School of Medicine, and Department of Pediatrics and Contagious Diseases, Cleveland Metropolitan General Hospital

In order to determine the relationship of scarlatinal arthritis to rheumatic fever, 18 patients who experienced joint symptoms early in the course of scarlet fever were interviewed and examined 1 to 20 years later to establish the incidence of subsequent rheumatic symptoms.

Two patients experienced definite pancarditis during the original illness, and the course of the arthritis in two additional cases was highly suggestive of rheumatic fever. Subsequent stigmata of rheumatic fever appeared in six other patients. Thus, the episode of scarlatinal arthritis probably represented rheumatic fever in eight instances, and possibly in two more.

It is concluded that scarlatinal arthritis is most likely a manifestation of rheumatic fever.

Submitted on November 22, 1958
Accepted on December 16, 1958




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