True about Erythema Marginatum in acute rheumatic fever is: (A) Pruiritic, (B) Commonly invovles face, (C) Common manifestation of acute rheumatic fever, (D) Usually associated with carditis
Answer is D. Ref Harrison 19 th ed pg 2152 Subcutaneous nodules occur as painless, small (0.5-2 cm), mobile lumps beneath the skin overlying bony prominences, paicularly of the hands, feet, elbows, occiput, and occasionally the veebrae. They are a delayed manifestation, appearing 2-3 weeks after the onset of disease, last for just a few days up to 3 weeks, and are commonly asso- ciated with carditis.