A member asked:

My 9 yo daughter has swollen finger joints in one hand and has elevated aso levels, could this be from scarlet fever 4 yrs ago?

2 doctors weighed in across 3 answers

Maybe: Elevated aso levels indicate a past strep infection....Just not exactly when. It is important to have her evaluated to see if it is something acute or if it could be related to strep.In the cases I have seen of rheumatic problems after strep the patients did not remember having a strep infection. If her scarlet fever was treated then this may not be related.

Answered 9/17/2012

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Integrative therapy: In this case of swollen joints one hand, it is important to be evaluated by a physician. I also refer often to traditional chinese medicine practitioners for many conditions (even one like this) as it helps immensely and can augment traditional treatment as well.

Answered 9/11/2011

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Dr. Carla Enriquez answered

Specializes in Pediatrics

Pauciarticular?: Swollen joints are never normal in a 9 yo. Elevated aso suggests rheumatic joint disease. But there are many other tests are necessary to evaluate her small joint arthritis. She should see a pediatric rheumatologist. See http://www.Ncbi.Nlm.Nih.Gov/pubmedhealth/pmh0001487/ for further information.

Answered 9/28/2016

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