Abstract

Acute rheumatic fever (ARF) is a multisystem disease resulting from an autoimmune reaction to infection with group A streptococcus. Carditis (clinical/subclinical), Arthritis (polyarthritis, mono arthritis, arthralgia), Chorea, Erythema marginatum, Subcutaneous nodules are the classical clinical manifestations. Incidence of ARF is decreasing even in developing countries and the manifestations like erythema marginatum is extremely rare(less than 5%).