A set of criteria defined by the American cardiologist T. D. Jones (1899–1954) to confirm the diagnosis of rheumatic fever, a formerly common systemic disease that was a sequel of acute pharyngitis caused by hemolytic streptococcal A infection and was almost always followed by chronic valvular heart disease. The criteria were revised and updated in 2000. They include streptococcal pharyngitis, fever, inflammatory arthritis of one or more large joints, elevated sedimentation rate, chorea, carditis, or mitral or other valvular incompetence (preferably confirmed by echocardiography); the criteria are useful now mainly in low-income countries and among deprived social groups in whom cases of rheumatic fever occasionally occur. The revised criteria approved by the American Heart Association in 2004 are at http://circ.ahajournals.org/cgi/content/full/106/19/2521?ck-ck. See also streptococcal infection.
Subjects: Public Health and Epidemiology.