Persistent Sydenham's chorea
Identifieur interne : 004C76 ( Main/Exploration ); précédent : 004C75; suivant : 004C77Persistent Sydenham's chorea
Auteurs : Francisco Cardoso [Brésil] ; Antonio Pedro Vargas [Brésil] ; Leonardo D. Oliveira [Brésil] ; Agostinho A. Guerra [Brésil] ; Selma V. Amaral [Brésil]Source :
- Movement Disorders [ 0885-3185 ] ; 1999-09.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- MESH :
- diagnosis : Chorea.
- Acute Disease, Adult, Disease Progression, Female, Follow-Up Studies, Humans, Male, Prospective Studies, Severity of Illness Index, Time Factors.
Abstract
BACKGROUND: Sydenham's chorea (SC) occurs in 26% of patients with rheumatic fever (RF). Despite usually being described as a self‐limited condition, few reports indicate that SC may persist in rare subjects. OBJECTIVE: To investigate the proportion of subjects with SC lasting more than 2 years and if clinical features differentiate patients with SC with a duration of less than 2 years (Group 1) from those with SC lasting more than 2 years (Group 2). METHODS: Prospective assessment of all patients with SC seen at our service from July 1993 through March 1998 analyzing the following: gender; age at onset; frequency of arthritis, carditis, family history of RF and SC; topographic distribution; and chorea severity on a 0–4 scale. RESULTS: Thirty‐two patients (19 female, 13 male) were studied. In Group 1 (16 subjects, 50%) the follow‐up period was 36.2 ± 20.0 months; 50% were female; age at onset was 10.9 ± 2.6 years; arthritis and carditis were present in 37.5% and 31.2%, respectively; family history of SC was reported by 18.7%; hemichorea was seen in 25.8% of subjects; and the mean intensity of chorea was 2.60.8. In Group 2, with a follow‐up period of 34.1 ± 18.9 months, 68.8% were female; age at onset was 9.3 ± 3.9 years; arthritis and carditis were diagnosed in 18.7% and 50%, respectively; no patient reported a family history of SC; hemichorea was observed in 6.2% of subjects; and the mean intensity of chorea was 2.8 ± 0.5. No difference was statistically significant. CONCLUSIONS: SC persists in half of our patients. Female gender, possibly related to endocrine factors, as well as the presence of carditis, indicating a more severe disease, may be risk factors for a longer duration of SC.
Url:
DOI: 10.1002/1531-8257(199909)14:5<805::AID-MDS1013>3.0.CO;2-P
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Istex, to step Corpus: 002025
- to stream Istex, to step Curation: 002025
- to stream Istex, to step Checkpoint: 003443
- to stream Main, to step Merge: 007975
- to stream PascalFrancis, to step Corpus: 002D55
- to stream PascalFrancis, to step Curation: 003A69
- to stream PascalFrancis, to step Checkpoint: 002D50
- to stream Main, to step Merge: 007B99
- to stream PubMed, to step Corpus: 004127
- to stream PubMed, to step Curation: 004127
- to stream PubMed, to step Checkpoint: 004138
- to stream Ncbi, to step Merge: 000124
- to stream Ncbi, to step Curation: 000124
- to stream Ncbi, to step Checkpoint: 000124
- to stream Main, to step Merge: 007745
- to stream Main, to step Curation: 004C76
Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Persistent Sydenham's chorea</title><author><name sortKey="Cardoso, Francisco" sort="Cardoso, Francisco" uniqKey="Cardoso F" first="Francisco" last="Cardoso">Francisco Cardoso</name></author><author><name sortKey="Vargas, Antonio Pedro" sort="Vargas, Antonio Pedro" uniqKey="Vargas A" first="Antonio Pedro" last="Vargas">Antonio Pedro Vargas</name></author><author><name sortKey="Oliveira, Leonardo D" sort="Oliveira, Leonardo D" uniqKey="Oliveira L" first="Leonardo D." last="Oliveira">Leonardo D. Oliveira</name></author><author><name sortKey="Guerra, Agostinho A" sort="Guerra, Agostinho A" uniqKey="Guerra A" first="Agostinho A." last="Guerra">Agostinho A. Guerra</name></author><author><name sortKey="Amaral, Selma V" sort="Amaral, Selma V" uniqKey="Amaral S" first="Selma V." last="Amaral">Selma V. Amaral</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:CAB92EE44ACBB2FE6D72A35DFCFF300C6FA5AC49</idno><date when="1999" year="1999">1999</date><idno type="doi">10.1002/1531-8257(199909)14:5<805::AID-MDS1013>3.0.CO;2-P</idno><idno type="url">https://api.istex.fr/document/CAB92EE44ACBB2FE6D72A35DFCFF300C6FA5AC49/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">002025</idno><idno type="wicri:Area/Istex/Curation">002025</idno><idno type="wicri:Area/Istex/Checkpoint">003443</idno><idno type="wicri:doubleKey">0885-3185:1999:Cardoso F:persistent:sydenham:s</idno><idno type="wicri:Area/Main/Merge">007975</idno><idno type="wicri:source">INIST</idno><idno type="RBID">Pascal:99-0475667</idno><idno type="wicri:Area/PascalFrancis/Corpus">002D55</idno><idno type="wicri:Area/PascalFrancis/Curation">003A69</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">002D50</idno><idno type="wicri:doubleKey">0885-3185:1999:Cardoso F:persistent:sydenham:s</idno><idno type="wicri:Area/Main/Merge">007B99</idno><idno type="wicri:source">PubMed</idno><idno type="RBID">pubmed:10495042</idno><idno type="wicri:Area/PubMed/Corpus">004127</idno><idno type="wicri:Area/PubMed/Curation">004127</idno><idno type="wicri:Area/PubMed/Checkpoint">004138</idno><idno type="wicri:Area/Ncbi/Merge">000124</idno><idno type="wicri:Area/Ncbi/Curation">000124</idno><idno type="wicri:Area/Ncbi/Checkpoint">000124</idno><idno type="wicri:doubleKey">0885-3185:1999:Cardoso F:persistent:sydenham:s</idno><idno type="wicri:Area/Main/Merge">007745</idno><idno type="wicri:Area/Main/Curation">004C76</idno><idno type="wicri:Area/Main/Exploration">004C76</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Persistent Sydenham's chorea</title><author><name sortKey="Cardoso, Francisco" sort="Cardoso, Francisco" uniqKey="Cardoso F" first="Francisco" last="Cardoso">Francisco Cardoso</name><affiliation wicri:level="2"><country xml:lang="fr">Brésil</country><wicri:regionArea>Movement Disorders Clinic, Department of Neurology, The Federal University of Minas Gerais, Belo Horizonte, MG</wicri:regionArea><placeName><region type="state">Minas Gerais</region></placeName></affiliation></author><author><name sortKey="Vargas, Antonio Pedro" sort="Vargas, Antonio Pedro" uniqKey="Vargas A" first="Antonio Pedro" last="Vargas">Antonio Pedro Vargas</name><affiliation wicri:level="2"><country xml:lang="fr">Brésil</country><wicri:regionArea>Movement Disorders Clinic, Department of Neurology, The Federal University of Minas Gerais, Belo Horizonte, MG</wicri:regionArea><placeName><region type="state">Minas Gerais</region></placeName></affiliation></author><author><name sortKey="Oliveira, Leonardo D" sort="Oliveira, Leonardo D" uniqKey="Oliveira L" first="Leonardo D." last="Oliveira">Leonardo D. Oliveira</name><affiliation wicri:level="2"><country xml:lang="fr">Brésil</country><wicri:regionArea>Movement Disorders Clinic, Department of Neurology, The Federal University of Minas Gerais, Belo Horizonte, MG</wicri:regionArea><placeName><region type="state">Minas Gerais</region></placeName></affiliation></author><author><name sortKey="Guerra, Agostinho A" sort="Guerra, Agostinho A" uniqKey="Guerra A" first="Agostinho A." last="Guerra">Agostinho A. Guerra</name><affiliation wicri:level="2"><country xml:lang="fr">Brésil</country><wicri:regionArea>Movement Disorders Clinic, Department of Neurology, The Federal University of Minas Gerais, Belo Horizonte, MG</wicri:regionArea><placeName><region type="state">Minas Gerais</region></placeName></affiliation></author><author><name sortKey="Amaral, Selma V" sort="Amaral, Selma V" uniqKey="Amaral S" first="Selma V." last="Amaral">Selma V. Amaral</name><affiliation wicri:level="2"><country xml:lang="fr">Brésil</country><wicri:regionArea>Movement Disorders Clinic, Department of Neurology, The Federal University of Minas Gerais, Belo Horizonte, MG</wicri:regionArea><placeName><region type="state">Minas Gerais</region></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="sub">Official Journal of the Movement Disorder Society</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>John Wiley & Sons, Inc.</publisher><pubPlace>New York</pubPlace><date type="published" when="1999-09">1999-09</date><biblScope unit="vol">14</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="805">805</biblScope><biblScope unit="page" to="807">807</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">CAB92EE44ACBB2FE6D72A35DFCFF300C6FA5AC49</idno><idno type="DOI">10.1002/1531-8257(199909)14:5<805::AID-MDS1013>3.0.CO;2-P</idno><idno type="ArticleID">MDS1013</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acute Disease</term><term>Adult</term><term>Carditis</term><term>Chorea</term><term>Chorea (diagnosis)</term><term>Disease Progression</term><term>Evolution</term><term>Female</term><term>Follow-Up Studies</term><term>Human</term><term>Humans</term><term>Male</term><term>Persistence</term><term>Prospective Studies</term><term>Rheumatic fever</term><term>Risk factor</term><term>Severity of Illness Index</term><term>Sydenham chorea</term><term>Sydenham's chorea</term><term>Time Factors</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Chorea</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Acute Disease</term><term>Adult</term><term>Disease Progression</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Prospective Studies</term><term>Severity of Illness Index</term><term>Time Factors</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Chorée Sydenham</term><term>Evolution</term><term>Facteur risque</term><term>Homme</term><term>Persistance</term><term>Rhumatisme articulaire aigu</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">BACKGROUND: Sydenham's chorea (SC) occurs in 26% of patients with rheumatic fever (RF). Despite usually being described as a self‐limited condition, few reports indicate that SC may persist in rare subjects. OBJECTIVE: To investigate the proportion of subjects with SC lasting more than 2 years and if clinical features differentiate patients with SC with a duration of less than 2 years (Group 1) from those with SC lasting more than 2 years (Group 2). METHODS: Prospective assessment of all patients with SC seen at our service from July 1993 through March 1998 analyzing the following: gender; age at onset; frequency of arthritis, carditis, family history of RF and SC; topographic distribution; and chorea severity on a 0–4 scale. RESULTS: Thirty‐two patients (19 female, 13 male) were studied. In Group 1 (16 subjects, 50%) the follow‐up period was 36.2 ± 20.0 months; 50% were female; age at onset was 10.9 ± 2.6 years; arthritis and carditis were present in 37.5% and 31.2%, respectively; family history of SC was reported by 18.7%; hemichorea was seen in 25.8% of subjects; and the mean intensity of chorea was 2.60.8. In Group 2, with a follow‐up period of 34.1 ± 18.9 months, 68.8% were female; age at onset was 9.3 ± 3.9 years; arthritis and carditis were diagnosed in 18.7% and 50%, respectively; no patient reported a family history of SC; hemichorea was observed in 6.2% of subjects; and the mean intensity of chorea was 2.8 ± 0.5. No difference was statistically significant. CONCLUSIONS: SC persists in half of our patients. Female gender, possibly related to endocrine factors, as well as the presence of carditis, indicating a more severe disease, may be risk factors for a longer duration of SC.</div></front></TEI><affiliations><list><country><li>Brésil</li></country><region><li>Minas Gerais</li></region></list><tree><country name="Brésil"><region name="Minas Gerais"><name sortKey="Cardoso, Francisco" sort="Cardoso, Francisco" uniqKey="Cardoso F" first="Francisco" last="Cardoso">Francisco Cardoso</name></region><name sortKey="Amaral, Selma V" sort="Amaral, Selma V" uniqKey="Amaral S" first="Selma V." last="Amaral">Selma V. Amaral</name><name sortKey="Guerra, Agostinho A" sort="Guerra, Agostinho A" uniqKey="Guerra A" first="Agostinho A." last="Guerra">Agostinho A. Guerra</name><name sortKey="Oliveira, Leonardo D" sort="Oliveira, Leonardo D" uniqKey="Oliveira L" first="Leonardo D." last="Oliveira">Leonardo D. Oliveira</name><name sortKey="Vargas, Antonio Pedro" sort="Vargas, Antonio Pedro" uniqKey="Vargas A" first="Antonio Pedro" last="Vargas">Antonio Pedro Vargas</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/MovDisordV3/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 004C76 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 004C76 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Santé
|area= MovDisordV3
|flux= Main
|étape= Exploration
|type= RBID
|clé= ISTEX:CAB92EE44ACBB2FE6D72A35DFCFF300C6FA5AC49
|texte= Persistent Sydenham's chorea
}}
| This area was generated with Dilib version V0.6.23. |  |