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Published on: November 21, 2013
[Sydenham's chorea, rare but not eradicated]
Lise Lind Jensen1, Charlotte Olesen, Thomas Balslev
1Regionshospitalet Randers, Paediatrisk Afdeling.
Insights
Sydenham's Chorea (SC), a neurological complication of Rheumatic Fever (RF), affects children globally. This report details the typical presentation and course of SC in two pediatric patients.
Area of Science:
- Neurology
- Pediatrics
- Infectious Diseases
Background:
- Sydenham's Chorea (SC) is a significant manifestation of acute Rheumatic Fever (RF).
- Group A streptococcal infections are the underlying cause of RF and its sequelae.
- While RF incidence is decreasing in developed nations, SC remains a concern.
Observation:
- Two pediatric patients with Sydenham's Chorea were treated.
- Both children presented with characteristic choreatic movements.
- Hypotonia and emotional lability were also observed in the patients.
Findings:
- The study describes the clinical course of SC in the two treated children.
- Typical SC symptoms including chorea, hypotonia, and emotional lability were noted.
- The cases illustrate the persistent occurrence of SC even in low-incidence regions.
Implications:
- Understanding SC presentation is crucial for timely diagnosis and management.
- These cases highlight the importance of recognizing SC in pediatric neurology.
- Continued vigilance for SC is necessary, particularly following streptococcal infections.
Abstract:
Sydenham's Chorea (SC), a major manifestation of acute Rheumatic Fever (RF), is a nonsuppurative sequelae of group A streptococcal infection. RF is a significant public health problem in developing countries, and SC continues to afflict large numbers of children throughout the world. Although the incidence of RF is low in industrialized countries, SC does occur. We recently treated two children with SC. Both children showed the typical features of SC, which are choreatic movements, hypotonia and emotional lability. We describe the course of SC in the two children.
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