Naproxen as an alternative to aspirin for the treatment of arthritis of rheumatic fever: a randomized trial.

Hashkes, Philip J; Tauber, Tsivia; Somekh, Eli; Brik, Riva; Barash, Judith; Mukamel, Masza; Harel, Liora; Lorber, Abraham et al. · J Pediatr · 2003

rct · Level II

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Abstract

We performed a prospective, randomized, open-label equivalence study comparing the use of naproxen to aspirin in 33 patients with rheumatic fever. The mean time until resolution of arthritis was 2.9+/-2.9 days in both groups. Liver enzyme elevations were more frequent in the aspirin group (P=.002). We conclude that naproxen is as effective, is easier to use, and is safer than aspirin in the treatment of the arthritis of rheumatic fever.

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