What are the Jones criteria for diagnosis of acute rheumatic fever (ARF)?

Updated: Sep 07, 2018
  • Author: Zartash Zafar Khan, MD, FACP; Chief Editor: Pranatharthi Haran Chandrasekar, MBBS, MD  more...
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Answer

The Jones criteria are used to diagnose rheumatic fever. The 5 major criteria consist of the following:

  • Carditis

  • Polyarthritis

  • Chorea

  • Erythema marginatum

  • Subcutaneous nodules

The minor criteria include the following:

  • Fever

  • Arthralgia

  • Elevated erythrocyte sedimentation rate or C-reactive protein level

  • Prolonged PR interval on electrocardiogram (ECG)

The presence of 2 major manifestations or of 1 major and 2 minor manifestations, supported by evidence of a preceding GAS infection by positive throat swab or culture results or by high serum ASO titers, strongly suggests ARF.


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