Chorea in fifty consecutive patients with rheumatic fever.
Identifieur interne : 004698 ( PubMed/Checkpoint ); précédent : 004697; suivant : 004699Chorea in fifty consecutive patients with rheumatic fever.
Auteurs : F. Cardoso [Brésil] ; C. Eduardo ; A P Silva ; C C MotaSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 1997.
Descripteurs français
- Wicri :
- geographic : Brésil.
English descriptors
- KwdEn :
- Age Distribution, Brazil (epidemiology), Child, Chorea (epidemiology), Chorea (etiology), Chorea (physiopathology), Comorbidity, Cross-Sectional Studies, Female, Humans, Male, Prevalence, Prospective Studies, Rheumatic Fever (complications), Rheumatic Fever (epidemiology), Rheumatic Fever (physiopathology), Severity of Illness Index, Sex Distribution.
- MESH :
- geographic , epidemiology : Brazil.
- complications : Rheumatic Fever.
- epidemiology : Chorea, Rheumatic Fever.
- etiology : Chorea.
- physiopathology : Chorea, Rheumatic Fever.
- Age Distribution, Child, Comorbidity, Cross-Sectional Studies, Female, Humans, Male, Prevalence, Prospective Studies, Severity of Illness Index, Sex Distribution.
Abstract
Rheumatic fever (RF) remains a significant public health problem in developing countries. Although its incidence has been declining in developed areas, several outbreaks of RF have been identified in the United States since 1985. To study the prevalence and clinical features of Sydenham's chorea (SC), a well-recognized expression of RF, we examined 50 consecutive patients with RF seen at our Pediatric Cardiology Clinic. Chorea was rated on a scale of 0-4 (0 = no chorea; and 4 = severe chorea, patient unable to walk). Chorea, active or in remission, occurred in 13 patients (26%). The male-to-female ratio was 1.08 among the total population and 0.86 among the SC group. The mean age of the 50 patients at onset of RF was 8.4 years and the standard deviation (SD) 3.1 years. Carditis was diagnosed in 84% of patients with and without chorea, but arthritis was more common in the latter group (83.8%) than in the SC group (30.8%). The mean age at onset of SC was 9.2 years (SD 2.7). Involuntary movement, noticed by nine patients, was the most common initial symptom. Chorea went into remission in eight patients after 9.9 months (SD 13.4). Chorea was rated 3 in ten patients, 1 in two patients, and 4 in one patient. Among the five patients with active SC, three had hemichorea and two had generalized chorea. We recognized abnormal saccades in 80% of patients with active chorea, whereas just 13.5% of patients without chorea displayed this abnormality. SC remains an important cause of chorea in countries plagued by RF.
DOI: 10.1002/mds.870120512
PubMed: 9380051
Affiliations:
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Eduardo</name></author><author><name sortKey="Silva, A P" sort="Silva, A P" uniqKey="Silva A" first="A P" last="Silva">A P Silva</name></author><author><name sortKey="Mota, C C" sort="Mota, C C" uniqKey="Mota C" first="C C" last="Mota">C C Mota</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1997">1997</date><idno type="RBID">pubmed:9380051</idno><idno type="pmid">9380051</idno><idno type="doi">10.1002/mds.870120512</idno><idno type="wicri:Area/PubMed/Corpus">004605</idno><idno type="wicri:Area/PubMed/Curation">004605</idno><idno type="wicri:Area/PubMed/Checkpoint">004698</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Chorea in fifty consecutive patients with rheumatic fever.</title><author><name sortKey="Cardoso, F" sort="Cardoso, F" uniqKey="Cardoso F" first="F" last="Cardoso">F. Cardoso</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Federal University of Minas Gerais, Brazil.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Neurology, Federal University of Minas Gerais</wicri:regionArea><wicri:noRegion>Federal University of Minas Gerais</wicri:noRegion></affiliation></author><author><name sortKey="Eduardo, C" sort="Eduardo, C" uniqKey="Eduardo C" first="C" last="Eduardo">C. Eduardo</name></author><author><name sortKey="Silva, A P" sort="Silva, A P" uniqKey="Silva A" first="A P" last="Silva">A P Silva</name></author><author><name sortKey="Mota, C C" sort="Mota, C C" uniqKey="Mota C" first="C C" last="Mota">C C Mota</name></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="ISSN">0885-3185</idno><imprint><date when="1997" type="published">1997</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Age Distribution</term><term>Brazil (epidemiology)</term><term>Child</term><term>Chorea (epidemiology)</term><term>Chorea (etiology)</term><term>Chorea (physiopathology)</term><term>Comorbidity</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Prevalence</term><term>Prospective Studies</term><term>Rheumatic Fever (complications)</term><term>Rheumatic Fever (epidemiology)</term><term>Rheumatic Fever (physiopathology)</term><term>Severity of Illness Index</term><term>Sex Distribution</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Brazil</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Rheumatic Fever</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Chorea</term><term>Rheumatic Fever</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Chorea</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Chorea</term><term>Rheumatic Fever</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Age Distribution</term><term>Child</term><term>Comorbidity</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Prevalence</term><term>Prospective Studies</term><term>Severity of Illness Index</term><term>Sex Distribution</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Brésil</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Rheumatic fever (RF) remains a significant public health problem in developing countries. Although its incidence has been declining in developed areas, several outbreaks of RF have been identified in the United States since 1985. To study the prevalence and clinical features of Sydenham's chorea (SC), a well-recognized expression of RF, we examined 50 consecutive patients with RF seen at our Pediatric Cardiology Clinic. Chorea was rated on a scale of 0-4 (0 = no chorea; and 4 = severe chorea, patient unable to walk). Chorea, active or in remission, occurred in 13 patients (26%). The male-to-female ratio was 1.08 among the total population and 0.86 among the SC group. The mean age of the 50 patients at onset of RF was 8.4 years and the standard deviation (SD) 3.1 years. Carditis was diagnosed in 84% of patients with and without chorea, but arthritis was more common in the latter group (83.8%) than in the SC group (30.8%). The mean age at onset of SC was 9.2 years (SD 2.7). Involuntary movement, noticed by nine patients, was the most common initial symptom. Chorea went into remission in eight patients after 9.9 months (SD 13.4). Chorea was rated 3 in ten patients, 1 in two patients, and 4 in one patient. Among the five patients with active SC, three had hemichorea and two had generalized chorea. We recognized abnormal saccades in 80% of patients with active chorea, whereas just 13.5% of patients without chorea displayed this abnormality. SC remains an important cause of chorea in countries plagued by RF.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">9380051</PMID><DateCreated><Year>1997</Year><Month>11</Month><Day>07</Day></DateCreated><DateCompleted><Year>1997</Year><Month>11</Month><Day>07</Day></DateCompleted><DateRevised><Year>2004</Year><Month>11</Month><Day>17</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0885-3185</ISSN><JournalIssue CitedMedium="Print"><Volume>12</Volume><Issue>5</Issue><PubDate><Year>1997</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Movement disorders : official journal of the Movement Disorder Society</Title><ISOAbbreviation>Mov. Disord.</ISOAbbreviation></Journal><ArticleTitle>Chorea in fifty consecutive patients with rheumatic fever.</ArticleTitle><Pagination><MedlinePgn>701-3</MedlinePgn></Pagination><Abstract><AbstractText>Rheumatic fever (RF) remains a significant public health problem in developing countries. Although its incidence has been declining in developed areas, several outbreaks of RF have been identified in the United States since 1985. To study the prevalence and clinical features of Sydenham's chorea (SC), a well-recognized expression of RF, we examined 50 consecutive patients with RF seen at our Pediatric Cardiology Clinic. Chorea was rated on a scale of 0-4 (0 = no chorea; and 4 = severe chorea, patient unable to walk). Chorea, active or in remission, occurred in 13 patients (26%). The male-to-female ratio was 1.08 among the total population and 0.86 among the SC group. The mean age of the 50 patients at onset of RF was 8.4 years and the standard deviation (SD) 3.1 years. Carditis was diagnosed in 84% of patients with and without chorea, but arthritis was more common in the latter group (83.8%) than in the SC group (30.8%). The mean age at onset of SC was 9.2 years (SD 2.7). Involuntary movement, noticed by nine patients, was the most common initial symptom. Chorea went into remission in eight patients after 9.9 months (SD 13.4). Chorea was rated 3 in ten patients, 1 in two patients, and 4 in one patient. Among the five patients with active SC, three had hemichorea and two had generalized chorea. We recognized abnormal saccades in 80% of patients with active chorea, whereas just 13.5% of patients without chorea displayed this abnormality. SC remains an important cause of chorea in countries plagued by RF.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Cardoso</LastName><ForeName>F</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Neurology, Federal University of Minas Gerais, Brazil.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Eduardo</LastName><ForeName>C</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Silva</LastName><ForeName>A P</ForeName><Initials>AP</Initials></Author><Author ValidYN="Y"><LastName>Mota</LastName><ForeName>C C</ForeName><Initials>CC</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>UNITED STATES</Country><MedlineTA>Mov Disord</MedlineTA><NlmUniqueID>8610688</NlmUniqueID><ISSNLinking>0885-3185</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D017677">Age Distribution</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" Type="Geographic" UI="D001938">Brazil</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000453">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D002648">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D002819">Chorea</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000453">epidemiology</QualifierName><QualifierName MajorTopicYN="N" UI="Q000209">etiology</QualifierName><QualifierName MajorTopicYN="N" UI="Q000503">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D015897">Comorbidity</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D003430">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D015995">Prevalence</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D011446">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D012213">Rheumatic Fever</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000150">complications</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000453">epidemiology</QualifierName><QualifierName MajorTopicYN="N" UI="Q000503">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D012720">Severity of Illness Index</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D017678">Sex Distribution</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1997</Year><Month>9</Month><Day>26</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1997</Year><Month>9</Month><Day>26</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1997</Year><Month>9</Month><Day>26</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">9380051</ArticleId><ArticleId IdType="doi">10.1002/mds.870120512</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Brésil</li></country></list><tree><noCountry><name sortKey="Eduardo, C" sort="Eduardo, C" uniqKey="Eduardo C" first="C" last="Eduardo">C. Eduardo</name><name sortKey="Mota, C C" sort="Mota, C C" uniqKey="Mota C" first="C C" last="Mota">C C Mota</name><name sortKey="Silva, A P" sort="Silva, A P" uniqKey="Silva A" first="A P" last="Silva">A P Silva</name></noCountry><country name="Brésil"><noRegion><name sortKey="Cardoso, F" sort="Cardoso, F" uniqKey="Cardoso F" first="F" last="Cardoso">F. Cardoso</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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