In the revised Jones criteria, which of the following is classified as a MINOR manifestation?

• A Chorea
• B Subcutaneous nodules
• C Erythema marginatum
• D Arthralgia ✓

Explanation

Minor criteria are arthralgia, fever, elevated ESR or CRP, and prolongation of the PR interval. Chorea, erythema marginatum, subcutaneous nodules, carditis, and polyarthritis are the five major criteria. A diagnosis requires either two major criteria, or one major plus two minor criteria, along with evidence of preceding group A streptococcal infection. Students often misclassify arthralgia as major because it sounds close to polyarthritis, which is the discriminating point here.

Reference: Nelson Textbook of Pediatrics, 21st ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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