Medical Emergencies · single question

The same patient with childhood rheumatic fever is likely to develop what long-term condition?

  1. Osteoarthritis
  2. Systemic lupus erythematosus
  3. Ankylosing spondylitis
  4. Rheumatoid arthritis
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Correct answer: A. Osteoarthritis

  • A. Rheumatic fever with carditis leads to chronic rheumatic heart disease. Additionally, post-streptococcal autoimmune activation has links to inflammatory arthritis.
  • B. Incorrect. SLE is a separate autoimmune condition not directly caused by rheumatic fever.
  • C. Incorrect. Osteoarthritis is degenerative and not linked to prior rheumatic fever.
  • D. Incorrect. Ankylosing spondylitis is HLA-B27 related and not a sequela of rheumatic fever.

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