Chinese Menu Diseases

asthma

•	a defining feature of CSS

•	precedes other manifestations

•	in contrast to common asthma, it develops at a later age

2.	eosinophilia (>10% of WBC)

3.	mononeuritis multiplex

4.	non-fixed pulmonary infiltrate

5.	paranasal sinus abnormalities

6.	extravascular eosinophils on biopsy

Fever for 5 or more days plus four of the five following criteria:

1.	conjunctivitis

2.	injected or red tongue, pharynx, or lips

3.	erythema of the palms or soles, edema of the hands and feet, or periungual desquamation

4.	polymorphous exanthem

5.	cervical lymphadenopathy

(easier name to remember – mucocutaneous lymph node disease)

�	need 2 of 7; mnemonic = CAN FOOL

1.	café au lait macules (6 or more)

2.	axillary or groin freckling

3.	neurofibromas (2 or more)

4.	first-degree relative with 2 criteria

5.	optic glioma

6.	o – characteristic bony deformities (??)

7.	Lisch nodules

Adult Still’s Disease Criteria:

Presence of all of the following:

•	Fever >39°C

•	arthralgia or arthritis

•

RF < 1:80

•	ANA < 1:100

In addition to any two of the following:

•	WBC >15,000 cells/mm3

•	Still’s rash

•	pleuritis or pericarditis

•	hepatomegaly or splenomegaly or generalized LAN

Jones Criteria (updated 1992) for diagnosis of Acute Rheumatic Fever:

Requires evidence of preceding group A strep infection and the presence of two major or one major and two minor manifestations:

Major manifestations:

•

carditis

•	polyarthritis

•

chorea

•	subcutaneous nodules

•	erythema marginatum

Minor manifestations:

•	arthralgia

•

fever

•	elevated ESR or C-reactive protein

•	prolonged P-R interval

Supporting evidence of antecedent group A streptococcal infection:

•	positive throat culture

•	positive rapid strep antigen test

•	elevated or rising strep antibody titer (e.g. ASO etc…)