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Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
Graves Disease II: Pathophysiology01:24

Graves Disease II: Pathophysiology

Graves’ disease is an autoimmune disorder characterized by the production of thyroid-stimulating immunoglobulins (TSI) that activate TSH receptors, leading to excessive synthesis and release of thyroid hormones (T3 and T4) and resulting in hyperthyroidism.Among all causes of hyperthyroidism, Graves’ disease is the most common and can happen at any age, though it is more frequent in women. It produces a hypermetabolic state with features such as weight loss, tachycardia, tremor, and heat...
Nephrotic Syndrome I : Introduction01:24

Nephrotic Syndrome I : Introduction

Nephrotic Syndrome is a chronic kidney disorder defined by clinical findings such as severe proteinuria, hypoalbuminemia, hyperlipidemia, and edema. These symptoms result from damage to the glomeruli, the kidney’s filtering units, increasing their permeability to proteins.Definition and Meaning:Proteinuria, defined as the loss of more than 3.5 grams of protein per day in adults, is a crucial feature of nephrotic syndrome. This condition is often accompanied by edema, the accumulation of fluid...
Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
Graves' Disease I: Introduction01:28

Graves' Disease I: Introduction

Graves' disease is an autoimmune disorder that causes hyperthyroidism, or overactivity of the thyroid gland. It results from autoantibodies called thyroid-stimulating immunoglobulins (TSIs), which bind to thyroid-stimulating hormone (TSH) receptors, leading to overstimulation of hormone production and a hypermetabolic state.EtiologyAlthough considered idiopathic, Graves’ disease has well-established contributing factors. There is a strong genetic component, with increased prevalence in...

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Kawasaki disease: an overview.

Georgia S Pinna1, Dimitris A Kafetzis, Orestis I Tselkas

  • 1Department of Microbiology, Evangelismos General Hospital, Athens, Greece.

Current Opinion in Infectious Diseases
|May 2, 2008
PubMed
Summary

Kawasaki disease, a childhood vasculitis, requires better diagnostics due to increasing frequency. This review summarizes known features and latest findings on its causes and treatments.

Related Experiment Videos

Area of Science:

  • Pediatric rheumatology
  • Immunology
  • Vascular biology

Background:

  • Kawasaki disease is an acute, self-limited childhood vasculitis with increasing incidence.
  • Its etiology remains largely unknown, though infectious and genetic factors are implicated.
  • It is a leading cause of acquired heart disease in children.

Purpose of the Study:

  • To provide a comprehensive overview of Kawasaki disease.
  • To highlight recent advancements in its diagnosis and treatment.
  • To synthesize current knowledge on epidemiology, etiology, pathology, and sequelae.

Main Methods:

  • Literature review of historical and recent publications.
  • Synthesis of evidence on diagnostic markers and therapeutic strategies.
  • Evaluation of genetic influences and long-term outcomes.

Main Results:

  • Inflammatory markers like CCL2 and CCXCL10 are relevant for diagnosis and pathology.
  • Intravenous immunoglobulin is the primary therapy, with alternatives for refractory cases.
  • Potential etiological factors include viruses, bacterial superantigens, and genetic polymorphisms.

Conclusions:

  • Understanding Kawasaki disease requires integrating historical, epidemiological, etiological, and genetic data.
  • Contemporary diagnostic techniques and therapeutic approaches are continually evolving.
  • Further research is crucial for improving outcomes and preventing long-term sequelae.