|
KMID : 0378019880310060027
|
|
New Medical Journal
1988 Volume.31 No. 6 p.27 ~ p.34
|
|
|
Clinical Observation of Rheumatic Fever in Children
|
|
|
|
|
Abstract
|
|
|
Rheumatic fever is a systemic disease involving mainly the joints and the heart and less frequently the central nervous system, skin, the subcutaneous tissues. Both initial and recurrent attacks are complications of group. A Q-streptococal upper respiratory infections and always potentially serious because it may lead to permanent cardiac damage.
The incidencke of rheumatic fever in developed countries has been fallen dramatically during the past 25 years, over the past 2 years, however, there has been an increase in the number of cases of acute rheumatic fever.
Present study was carried out to determine the nature of rheurmatic fever in Korea. The discharge charts of 107 cases of patients, admitted to the Korea University hospital form January 1979 to December 1986, with diagnosis of acute rheumatic fever were analyzed for epidemiologic feature and clinical findings retrospectivly.
The results obtained were as follows:
1. The annual incidence of rheumatic fever was not decreased.
2. The group of peak age incidence was 6-15 years and the seasonal peak was observed from Nove ber to February.
3. The preceding infection was observed in 46.7%.
4. The major manifestation were carditis (60.7(71o), polyarthritis (28.9%), erythema marginatum (11 2%), subcutaneous nodule (5.6%), and chorea (0.9%).
5. In laboratory findings, leukocytosis (>10.000/mm´) were 41.1%, anemia (<10.0mg/%) in 18.7%, increased ESR (>20mm/hr) in 77.6%, increased ASO (>333 Todd units or 400 International Units) in 76.6 , and positive CRP in 73.8%.
6. The most common family numbers were 4-6 persons.
7. The admission days were within 5 days (29.9%), from 6 to 10 days (34.6%) and from 11 to 15 days (18.7%).
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|