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What could cause an increased ASO and joint pain?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My ASO is 203, and creatinine is 0.80. I am having a joint pain and stomach upset problem from the last four years. The RA factor is nil and hemoglobin is 11. I am sending my LFT and ASO reports. Please suggest.

Hello,

Welcome to icliniq.com.

  • According to your complaints and reports attached (attachment removed to protect patient identity), I suspect a rheumatic heart disease in your case. I would recommend you get evaluated further.
    • Increased ASO (antistreptolysin O) with joint pain could be due to a streptococcus infection which is one of the causes of rheumatic heart disease.
      • I will suggest some investigations for you. If it is negative, then it could be reactive arthritis secondary to streptococcal infection.
        • Investigations to be done:
          1. ECG (electrocardiogram).
          2. 2D echo (echocardiogram).

          For more information consult an internal medicine physician online

Medically reviewed byiCliniq medical review team

Published At December 9, 2017
Reviewed AtApril 23, 2025

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