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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

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

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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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Rheumatic Heart Disease III: Medical Management01:21

Rheumatic Heart Disease III: Medical Management

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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

Rheumatic Heart Disease IV: Nursing Management

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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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Rh Blood Group01:19

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Mitral Valve Prolapse III: Nursing Management01:19

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The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...
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[Management of systemic lupus erythematosus-Including secondary antiphospholipid syndrome, fertility and pregnancy : S3 guidelines of the German Society for Rheumatology and Clinical Immunology and the German Society for Neurology (DGN), German Society for Internal Medicine (DGIM), German Cardiac Society (DGK), Society for Thrombosis and Hemostasis Research (GTH), German Society for Hematology and Medical Oncology (DGHO), German Society for Pediatric and Adolescent Medicine (DGKJ), Society for Pediatric and Adolescent Rheumatology (GKJR), German Society for Nephrology (DGfN), German Society for Pneumology and Ventilation Medicine (DGP), German Rheumatism League National Association, Lupus Erythematosus Self-help Community, German Dermatological Society (DDG). Version: 1.2].

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Patient-reported outcomes in large vessel vasculitis: insights from a retrospective analysis of disease activity and associated factors.

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Updated: Jan 2, 2026

Preliminary Study on Acupuncture Combined with Grain-sized Moxibustion for Treating Rheumatoid Arthritis with Finger Joint Pain
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[Pregnancy and rheumatic diseases].

R Fischer-Betz1, S Späthling-Mestekemper2

  • 1Poliklinik für Rheumatologie und Hiller Forschungszentrum, Universitätsklinikum Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Deutschland. rebecca.fischer@med.uni-duesseldorf.de.

Zeitschrift Fur Rheumatologie
|December 13, 2019
PubMed
Summary

Women of childbearing age with inflammatory rheumatic diseases can achieve successful pregnancies with careful management. Planning pregnancies during inactive disease phases and understanding risks are crucial for maternal and child well-being.

Keywords:
Antirheumatic treatmentPregnancy complicationsRheumatoid arthritisSpondyloarthritisSystemic lupus erythematosus

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Area of Science:

  • Rheumatology
  • Immunology
  • Obstetrics

Background:

  • Inflammatory rheumatic diseases predominantly impact women of reproductive age.
  • Pregnancy can influence the maternal disease course, with variable immunological effects.
  • While successful pregnancies are possible, complication rates are higher than in healthy populations.

Purpose of the Study:

  • To outline optimal management strategies for pregnant women with inflammatory rheumatic diseases.
  • To highlight the importance of pre-conception counseling and risk assessment.
  • To emphasize the need for individualized, interdisciplinary care during pregnancy.

Main Methods:

  • Review of current literature and clinical guidelines.
  • Analysis of immunological changes during pregnancy in rheumatic diseases.
  • Discussion of management protocols and treatment options compatible with pregnancy.

Main Results:

  • Successful pregnancy outcomes are achievable with proactive medical and obstetric care.
  • Pregnancy planning during quiescent disease periods is recommended.
  • Patient education on risks and compatible treatments is essential for shared decision-making.

Conclusions:

  • Individualized and interdisciplinary care is key to promoting disease stability and reducing maternal-fetal risks.
  • Informed patient participation through detailed information sharing is vital for treatment decisions.
  • Careful management can lead to favorable outcomes for both mother and child affected by inflammatory rheumatic diseases.