PDF(Pubmed)
Abstract：
UNASSIGNED: Rheumatic heart disease is a preventable disease. Patients may not present with a typical history of sore throat and polyarthritis but may present with Sydenham\'s chorea. We should not rely completely on clinical findings to rule out carditis. Echocardiography should be done to rule out subclinical carditis.
UNASSIGNED: Sydenham\'s chorea is a major manifestation of rheumatic fever. It occurs primarily in children and is seen rarely after the age of 20 years. We describe a 16-year-old girl who presented with purposeless involuntary movements of her upper and lower limbs. Laboratory blood reports showed raised erythrocyte sedimentation rate and anti-streptolysin O. 2D Doppler Echocardiography confirmed subclinical carditis, thickened mitral and aortic valve with mild mitral regurgitation. She was managed as Acute Rheumatic Fever with oral Phenoxymethyl penicillin and Carbamazepine. At the latest follow-up interviewing the caregiver, the patient had no sequelae. Early diagnosis is key to preventing late consequences of acute rheumatic fever and rheumatic heart disease. Sydenham\'s chorea is a rare presentation of acute rheumatic fever. The absence of clinical carditis does not rule out carditis.
UNASSIGNED: Sydenham\'s chorea is a major manifestation of rheumatic fever. It occurs primarily in children and is seen rarely after the age of 20 years. We describe a 16-year-old girl who presented with purposeless involuntary movements of her upper and lower limbs. Laboratory blood reports showed raised erythrocyte sedimentation rate and anti-streptolysin O. 2D Doppler Echocardiography confirmed subclinical carditis, thickened mitral and aortic valve with mild mitral regurgitation. She was managed as Acute Rheumatic Fever with oral Phenoxymethyl penicillin and Carbamazepine. At the latest follow-up interviewing the caregiver, the patient had no sequelae. Early diagnosis is key to preventing late consequences of acute rheumatic fever and rheumatic heart disease. Sydenham\'s chorea is a rare presentation of acute rheumatic fever. The absence of clinical carditis does not rule out carditis.
摘要：
风湿性心脏病是一种可预防的疾病。患者可能没有典型的喉咙痛和多关节炎病史，但可能有Sydenham舞蹈症。我们不应该完全依靠临床发现来排除心脏炎。应进行超声心动图检查以排除亚临床性心脏炎。
■Sydenham\的舞蹈病是风湿热的主要表现。它主要发生在儿童中，在20岁以后很少见。我们描述了一个16岁的女孩，她的上肢和下肢无目的的不自主运动。实验室血液报告显示红细胞沉降率和抗链球菌溶血素O.2D多普勒超声心动图证实了亚临床性心脏病，二尖瓣和主动脉瓣增厚伴轻度二尖瓣反流。她因急性风湿热而口服苯氧甲基青霉素和卡马西平。在最近的随访采访护理人员时，病人没有后遗症。早期诊断是预防急性风湿热和风湿性心脏病晚期后果的关键。Sydenham舞蹈症是急性风湿热的罕见表现。没有临床心脏炎不排除心脏炎。
■Sydenham\的舞蹈病是风湿热的主要表现。它主要发生在儿童中，在20岁以后很少见。我们描述了一个16岁的女孩，她的上肢和下肢无目的的不自主运动。实验室血液报告显示红细胞沉降率和抗链球菌溶血素O.2D多普勒超声心动图证实了亚临床性心脏病，二尖瓣和主动脉瓣增厚伴轻度二尖瓣反流。她因急性风湿热而口服苯氧甲基青霉素和卡马西平。在最近的随访采访护理人员时，病人没有后遗症。早期诊断是预防急性风湿热和风湿性心脏病晚期后果的关键。Sydenham舞蹈症是急性风湿热的罕见表现。没有临床心脏炎不排除心脏炎。
