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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...
217
Myocarditis II: Clinical Features and Diagnostic Tests01:27

Myocarditis II: Clinical Features and Diagnostic Tests

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Myocarditis is an inflammation of the heart muscle. The symptoms vary widely, encompassing asymptomatic presentations to severe, acute manifestations.Clinical PresentationAsymptomatic cases: In some instances, myocarditis may be asymptomatic, with the infection resolving without intervention. These cases often go undetected unless discovered incidentally through diagnostic imaging or tests conducted for other reasons.General Early Symptoms: Early symptoms of myocarditis are non-specific and can...
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Pericarditis I: Introduction01:22

Pericarditis I: Introduction

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Pericarditis is defined as the inflammation of the pericardium, the thin, sac-like membrane surrounding the heart. This condition can cause significant chest pain and other symptoms, often necessitating medical intervention. The pericardium has two layers: the inner visceral layer and the outer parietal layer, separated by a small amount of fluid that reduces friction during heartbeats.Types of PericarditisPericarditis can be classified into several types based on the duration and nature of the...
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Rheumatic Heart Disease III: Medical Management01:21

Rheumatic Heart Disease III: Medical Management

120
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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Autoimmune Disorders01:29

Autoimmune Disorders

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Autoimmune diseases are a group of disorders in which the body's immune system mistakenly attacks its own cells, tissues, and organs. This results from an overactive immune response against substances and tissues normally present in the body. Let's delve into the concept and mechanism of autoimmune diseases from an immune system point of view, explore different causes and examples of such diseases, and discuss potential solutions.
Concept and Mechanism of Autoimmune Diseases
The immune...
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Updated: Nov 15, 2025

Preliminary Study on Acupuncture Combined with Grain-sized Moxibustion for Treating Rheumatoid Arthritis with Finger Joint Pain
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Reactive arthritis after COVID-19.

Bo Langhoff Hønge1, Marie-Louise From Hermansen2, Merete Storgaard3

  • 1Department of Infectious Diseases, Aarhus Universitet, Aarhus, Denmark bohonge@gmail.com.

BMJ Case Reports
|March 3, 2021
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Summary

A COVID-19 survivor developed severe joint pain post-hospitalization, diagnosed as reactive arthritis. Prompt treatment with anti-inflammatory drugs and steroids led to significant improvement.

Keywords:
COVID-19immunologyrheumatology

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Area of Science:

  • Rheumatology
  • Infectious Diseases
  • Immunology

Background:

  • COVID-19 can trigger various post-infectious complications.
  • Reactive arthritis is an inflammatory condition affecting joints, often following an infection elsewhere in the body.

Observation:

  • A previously healthy 53-year-old man experienced severe joint pain in his lower extremities after recovering from COVID-19.
  • Synovial fluid analysis revealed inflammatory markers but ruled out bacterial infection and common autoimmune markers like rheumatoid factor, anti-CCP, and HLA-B27.

Findings:

  • The patient's symptoms were consistent with reactive arthritis, a diagnosis supported by the exclusion of other causes.
  • The condition responded well to treatment with non-steroidal anti-inflammatory drugs and prednisolone.

Implications:

  • This case highlights a potential link between COVID-19 and the development of reactive arthritis.
  • Early diagnosis and treatment of post-COVID-19 reactive arthritis are crucial for patient recovery.
  • Further research is needed to understand the mechanisms underlying post-COVID-19 reactive arthritis.