Tuesday, December 28, 2021

Rheumatic chorea - variable clinical presentation timelines


Variations in clinical presentation of rheumatic/ sydenham's chorea -

a. 3-4 weeks after streptococcal pharyngitis, as a part of acute rheumatic fever (ARF) spectrum.

b. up to 6 months after other manifestations of ARF spectrum.

c. up to 6 months after streptococcal pharyngitis, with no other manifestations of ARF in between.

Note - In the clinical presentation c., when the patient may present with chorea up to 6 months after a streptococcal pharyngitis, an incidental finding on echocardiography may show a sub-clinical heart valves' involvement and fibrotic changes in myocardial tissue. This is an alarming situation and must start prophylactic antibiotics and other measures urgently so as to prevent onset of severe chronic RHD in future.

- Jaskunwar Singh

No comments:

Post a Comment

This is express yourself space. Where you type create something beautiful! <3
Wondering what do I write? Well...
Tell us something you know better. You are a brilliant mind. Yes, you are! ^__^
Ask about something you don't understand @_@?
Compliment... Say something nice! =D
Be a good critic and correct us if something went wrong :|
Go ahead. Comment all you like here! (:

PS: We have moderated comments to reduce spam. ALL comments that are not spam will be published on the website.