Table 1.

Revised Jones criteria for diagnosis of ARF

For all patients with evidence of preceding GAS infection
1. Diagnosis of initial ARF
2 Major manifestations or 1 major plus 2 minor manifestations
2. Diagnosis of recurrent ARF
2 Major or 1 major and 2 minor or 3 minor criteria
Low risk population: ARF incidenceof ≤2 per 100,000 school-aged children or all-age RHD prevalence of ≤1 per 1000 population per year
Major criteria	Minor criteria
□ Carditis clinical or subclinical (i.e., echocardiographic) □ Polyarthritis □ Chorea □ Erythema marginatum □ Subcutaneous nodules	□ Polyarthralgia □ Fever >38.5 °C □ ESR ≥60 mm/h in the first hour and/or CRP ≥3.0 mg/dl □ Prolonged PR interval, after accounting for age variability (unless carditis is a major criterion)
Moderate/high risk population:
Major criteria	Minor criteria
□ Carditis clinical or subclinical (i.e., echocardiographic) □ Polyarthritis or monoarthritis or polyarthralgia □ Chorea □ Erythema marginatum □ Subcutaneous nodules	□ Monoarthralgia □ Fever >38 °C □ ESR ≥30 mm/h and or CRP ≥3.0 mg/dl □ Prolonged PR interval, after accounting for age variability (unless carditis is a major criterion)

Adapted with permission from Gewitz et al. [41••]