Rheumatic fever classification

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Anthony Gallo, B.S. [2]


Based on the duration of symptoms, rheumatic fever may be classified into either acute or chronic. Acute rheumatic fever may be characterized by Group A beta-hemolytic streptococcal infection and cardiac lesions. Acute Rheumatic fever is diagnosed by JONES criteria. Chronic rheumatic fever may be characterized by cardiac valvular lesions and mitral stenosis.


Based on the duration of symptoms and the outcome of the disease, rheumatic fever may be classified into either acute or chronic.[1][2][3]

Types Characterestics
Acute rheumatic fever
Chronic rheumatic fever
  • Pancarditis
    • Cardiac abnormality
      • Heart failure and/or stenosis
      • MacCallum plaques (Mural endocardial lesions in the left atrium due to regurgitant blood flow jets from incompetent mitral valve.
    • Cardiac valvular lesions


  1. Nasonova VA, Kuz'mina NN, Belov BS (2004). "[Present-day classification and nomenclature of rheumatic fever]". Klin Med (Mosk). 82 (8): 61–6. PMID 15468729.
  2. Gewitz MH, Baltimore RS, Tani LY, Sable CA, Shulman ST, Carapetis J; et al. (2015). "Revision of the Jones Criteria for the diagnosis of acute rheumatic fever in the era of Doppler echocardiography: a scientific statement from the American Heart Association". Circulation. 131 (20): 1806–18. doi:10.1161/CIR.0000000000000205. PMID 25908771.
  3. Shivakumarswamy U, Sinhasan SP, Purushotham R, Nagesha KR (2010). ""MacCallum Plaque of the Heart": A Medicolegal Case". Heart Views. 11 (2): 71–3. doi:10.4103/1995-705X.73220. PMC 3000917. PMID 21188002.