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Post-streptococcal reactive arthritis (PSRA) is an acute joint inflammatory condition occurring after a preceding infection with group A beta-haemolytic Streptococcus (GAS) in a child with no previous history of rheumatic disease. It shares some clinical features with juvenile idiopathic arthritis. We performed a review of all published reports of paediatric PSRA in order to characterise the disease. Fifty-one case reports and six series were analysed. The main clinical features of PSRA were: age younger than 5 years (50 cases), fever (94%), joint involvement (92%), enthesitis (61%), cutaneous rash (42%) and associated skin and soft tissue infections (30%). Streptococcal infections were the most frequent preceding infection (58%), followed by acute otitis media (23%). The clinical course of PSRA was self-limited in 67%, but joint disease usually persisted for 6-12 months. In 22 cases, arthritis recurred after a 0b46394aab