Subcutaneous nodules: a rare and only presentation of acute rheumatic fever

Acute rheumatic fever (ARF) is a most common sequelae of group a beta hemolytic streptococcus (GABHS). 11yr old adolescent male presented with subcutaneous nodules, which is being rarest manifestation, diagnosed to have ARF- mitral regurgitation with active carditis based on revised Jones criteria. Treated with Injection benzathine penicillin, aspirin and steroids according to IAP protocol. Patient become asymptomatic with resolution of subcutaneous nodules. Here we describe the successful diagnosis and management of a patient with ARF