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Related Concept Videos

Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

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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...
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Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

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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...
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Genome-wide association studies or GWAS are used to identify whether common SNPs are associated with certain diseases. Suppose specific SNPs are more frequently observed in individuals with a particular disease than those without the disease. In that case, those SNPs are said to be associated with the disease. Chi-square analysis is performed to check the probability of the allele likely to be associated with the disease.
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Rheumatic Heart Disease III: Medical Management01:21

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Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
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Rheumatic Heart Disease IV: Nursing Management01:20

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AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
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Preliminary Study on Acupuncture Combined with Grain-sized Moxibustion for Treating Rheumatoid Arthritis with Finger Joint Pain
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Rheumatoid meningitis.

Akin Nihat1, Krishna Chinthapalli1, Leslie Bridges1

  • 1St. George's Hospital, London, UK.

Practical Neurology
|April 1, 2016
PubMed
Summary
This summary is machine-generated.

Rheumatoid meningitis, a rare condition mimicking neurological disorders, can occur without active rheumatoid arthritis joint inflammation. This case highlights its presentation with stroke-like symptoms, emphasizing the need for broader differential diagnoses.

Keywords:
IMMUNOLOGYNEUROIMMUNOLOGYSPEECHSTEROIDSSTROKE

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Area of Science:

  • Neurology
  • Rheumatology
  • Neuroinflammation

Background:

  • Rheumatoid meningitis is a rare complication of rheumatoid arthritis.
  • It can present with diverse neurological symptoms, often without active joint inflammation.
  • Mimics vascular syndromes and encephalopathies.

Observation:

  • A patient presented to a hyperacute stroke unit with acute onset dysarthria and transient facial droop.
  • The patient had a history of rheumatoid arthritis.
  • No active synovitis was noted.

Findings:

  • The patient was diagnosed with rheumatoid meningitis.
  • This diagnosis was made despite the absence of active synovitis.
  • The presentation mimicked acute cerebrovascular events.

Implications:

  • Rheumatoid meningitis should be considered in the differential diagnosis of acute neurological deficits, especially in patients with rheumatoid arthritis.
  • Early diagnosis and treatment are crucial for managing this potentially reversible condition.
  • This case underscores the importance of considering non-vascular causes of stroke-like symptoms.