Match each major Jones criterion manifestation of acute rheumatic fever (ARF) with its characteristic clinical feature:
Manifestations:
1. Erythema marginatum
2. Subcutaneous nodules
3. Sydenham chorea
4. Migratory polyarthritis
Clinical Features:
A. Nonpruritic, serpiginous erythematous rash with central clearing, primarily on the trunk
B. Firm, painless lesions located over extensor surfaces and bony prominences
C. Involuntary, irregular, purposeless movements accompanied by facial grimacing
D. Sequential, shifting inflammation and pain involving multiple large joints
Answer
1-A, 2-B, 3-C, 4-D
Explanation
Each feature has a characteristic clinical description in the lecture. **Key takeaway:** Matching morphology and distribution to the named manifestation improves recognition. **Glossary:** Macular: flat and discolored; tender: painful when touched.