Chart 10.4.

Summary of Jones Criteria for Acute Rheumatic Fever (2015 Review), highlighting major changes from 1992 review

Jones criteria revised for diagnosis of ARF6
ARF Risk	Low risk population: Incidence of ARF ≤ 2 per 100,000 school-age children or prevalence at all ages ≤ 1 per 1000 per year	Moderate to high risk population: Children not included in low risk populations
Major criteria:
Carditis	Clinical and/or subclinical*	Clinical and/or subclinical*
Arthritis	Polyarthritis	Monoartrite, poliartrite e/ou poliartralgia
	Korea Marked Erythema Subcutaneous nodules	Korea Marked Erythema Subcutaneous nodules
Minor criteria:
Carditis Arthralgia Fever Inflammatory markers	Extended PR Range† Polyarthralgia ≥ 38.5°C ESR peak ≥ 60 mm in 1 hr and / or CRP ≥ 3.0 mg/dL	Extended PR Range† Monoarthralgia ≥ 38°C ESR peak ≥ 30 mm in 1hr and/or CRP ≥ 3.0 mg/dL

Changes from the 1992 revision are highlighted in bold.

^*Subclinical carditis: seen only on echocardiography, without auscultatory findings.

^†Considering variability by age and only if carditis is NOT counted as a major criterion. ARF: acute rheumatic fever; CRP: C-reactive protein; ESR: erythrocyte sedimentation rate.