THE CLINICAL SPECTRUM OF POSTSTREPTOCOCCAL SYNDROMES WITH ARTHRITIS IN CHILDREN

Acute rheumatic fever (ARF) and post-streptococcal reactive arthritis (PSRA) are well known complications of streptococcal throat infections We describe four children with arthritis following a streptococcal th roat infection. In addition to arthritis, other clinical manifestation s included erythema nodosum, livedo reticularis and cutaneous vasculit is. Because of the very diverse clinical manifestations that may appea r after a streptococcal throat infection, we suggest a classification and treatment of post-streptococcal syndromes according to the severit y of the disease.