Acute rheumatic fever and erythema marginatum in an adult patient

Sonali Batta; Hannah Pederson; Karen B Brust; Katherine H Fiala

doi:10.1080/08998280.2022.2065073

Acute rheumatic fever and erythema marginatum in an adult patient

Proc (Bayl Univ Med Cent). 2022 Apr 22;35(4):550-551. doi: 10.1080/08998280.2022.2065073. eCollection 2022.

Authors

Sonali Batta¹, Hannah Pederson², Karen B Brust³, Katherine H Fiala²

Affiliations

¹ Texas A&M Health Science Center College of Medicine, Temple, Texas.
² Department of Dermatology, Baylor Scott and White Medical Center, Temple, Texas.
³ Department of Infectious Diseases, Baylor Scott and White Medical Center, Temple, Texas.

Abstract

A 41-year-old woman presented for evaluation of a pruritic eruption with an abrupt onset, starting on her flanks and then spreading to her arms and legs. She had 2 weeks of fever, chills, malaise, migratory joint pain, nausea, and mental confusion. An antistreptolysin O titer was positive. Upon hospital admission, bilateral lower-extremity chorea movements were observed, and her C-reactive protein level was elevated (3.7 mg/dL). Biopsy results supported erythema marginatum. Based on these clinical and laboratory findings, the diagnosis of acute rheumatic fever was established.

Keywords: Acute rheumatic fever; erythema marginatum; figurate erythema.

Publication types

Case Reports