Revised Jone’s Criteria – Mnemonic

Remember SPACE LEAF for Revised Jone’s Criteria (2015).

Major criteria

Mnemonic: SPACE

1. Subcutaneous nodules
2. Pancarditis
3. Arthritis (Polyarthritis; for moderate to high-risk population – monoarthritis also qualifies)
4. Chorea
5. Erythema marginatum

Minor criteria

Mnemonic: LEAF

1. Long PR interval
2. ESR ≥ 60mm/hr (or ≥ 30mm/hr in moderate to high-risk population) and CRP ≥ 3mg/dl
3. Arthralgia (Polyarthralgia; for moderate to high-risk population – monoarthralgia also qualifies)
4. Fever ( ≥ 38.5c; ≥ 38c for moderate to high-risk population )

Interpretation:

With evidence of preceding Group A Streptococci infection (Increased or rising ASO titer or culture):

1. Initial ARF: 2 Major OR 1 Major + 2 Minor
2. Reccurent ARF: As above OR 3 Minor