Poststreptokokal Reaktif Artrit ve Akut Romatizmal Ateş: Benzerlikler, Farklılıklar, Klinik Yaklaşım ve Tedavi

Poststreptokoksik reaktif artrit (PSRA) ve akut romatizmal ateş (ARA) geçirilmiş farengealgrup A beta hemolitik streptokok ya da Streptococcus pyogenes enfeksiyonunun ikikomplikasyonudur. ARA çok daha önceleri tanımlanmış bir poststreptokoksik komplikasyonolmasına rağmen PSRA ilk kez 1982 de tanımlanmıştır. Bu iki komplikasyonun farklı kliniktablolar mı olduğu yoksa aynı hastalığın farklı ortaya çıkış şekilleri mi olduğu halen tartışmakonusudur. Bu derlemede bu iki klinik tablonun benzerliklerini, farklılıklarını, klinik etki veönemlerini tanımlamayı amaçladık

Anahtar Kelimeler:

Streptokok infeksiyonu, komplikasyonlar, artrit

POSTSTREPTOCOCCAL REACTIVE ARTHRITIS AND ACUTE RHEUMATIC FEVER: SIMILARITIES, DIFFERENCES, CLINICAL APPROACH AND THERAPY

Poststreptococcal reactive arthritis (PSRA) and Acute rheumatic fever (ARF) are twocomplications of preceding pharyngeal infections with a group A beta hemolytic streptococcus(GABHS) or Streptococcus pyogenes. Although ARF is much earlier known poststreptococcalcomplication, PSRA is first described in 1982. There is ongoing debate on whether these twoconditions represent distinct clinical entities or are parts at the spectrum of the same disease. Inthis review, we aim to describe both clinical presentations, and to discuss their similarities anddifferences, clinical impacts and importance

Keywords:

Streptococcal infections, complications, arthritis,

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