Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
135 Doctors are Online

Does rheumatic heart disease cause rashes with wrist and ankle pain?

User rating for this question
Very Good
Answered by

Cardiologist
Practicing since : 2001
Answered : 4839 Questions
Question
I believe I have or had strept throat about one week ago - headache, fever, body aches, sore throat with white patches on the tonsil and difficulty swallowing. About three to four days later I developed a rash on my torso, chest and back, about the level of the lower rib cage. One day ago I developed acute left wrist pain and now have developed right ankle pain and right wrist pain. My left wrist remains severely painful and limited in range of motion. My right wrist and right anke pain stiffness persist but on a lower grade level than my left wrist. Aside from the joint pain I would consider myself about 85% over my symptoms.
Does this sound like the possibility of rheumatic heart disease?
Sat, 9 Jun 2018 in Hypertension and Heart Disease
 
 
Answered by Dr. Ilir Sharka 1 hour later
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome on HCM!

I passed carefully through your recent medical history and would explain that an acute rheumatic fever could not be excluded. You have had a suspicious throat infection followed by polyarhtritis, arthralgia and cutaneous rash (which should be carefully examined to confirm/exclude any presence of erythema marginatum and subcutaneous nodules giving such way more strong evidence of rheumatic fever).

Though rheumatic fever is usually encountered in pediatric age, isolated bouts in adults has been sporadically confirmed.

In order to exactly diagnose a possible streptococcal infection complication, such as rheumatic fever, first it is necessary to confirm the presence of strep infection by performing a microbiological throat culture and also antistreptolysin o (ASO) test.

Other markers of inflammation such as:

- complete blood count with leukocytes formula,
- PCR & ESR,
- complement titer

should be checked. A cardiac ultrasound is available to investigate a possible cardiac involvement (carditis).

At the end you should know that a strep infection when diagnosed early is completely and successfully treated without sequelae.

Hope to have been helpful to you!

You need to discuss with your doctor on the above mentioned issues.

Wishing you a Happy New Year!

Kind regards,

Dr. Iliri
Above answer was peer-reviewed by
 
Share on Facebook
Share on Twitter
Share on Google+

The user accepted the expert's answer

Ask a Cardiologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor