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Related Concept Videos

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 I: Introduction01:23

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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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Peripheral Artery Disease I: Introduction01:30

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Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
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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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Factors Affecting Illness01:18

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When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
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Author Spotlight: Enhancing Rheumatoid Arthritis Research Through HR-pQCT Imaging Analysis
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Living with palindromic rheumatism: a qualitative interview study.

Lara S Chapman1, Zahira P Latif2, Rebecca J Stack3

  • 1Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK.

Rheumatology Advances in Practice
|January 5, 2026
PubMed
Summary
This summary is machine-generated.

Palindromic rheumatism (PR) significantly impacts daily life and causes distress, with patients often facing delayed referrals and limited information. Understanding patient experiences is crucial for improving care and future research into this inflammatory condition.

Keywords:
RAat-riskinterviewspalindromic rheumatismpatient perspectivespreventionqualitative

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Area of Science:

  • Rheumatology
  • Inflammatory Arthritis Research

Background:

  • Palindromic rheumatism (PR) is an under-researched inflammatory condition.
  • Patients with PR face an increased risk of developing inflammatory arthritis (IA).

Purpose of the Study:

  • To explore patient experiences with palindromic rheumatism.
  • Investigate symptoms, impact, treatment outcomes, and progression to IA from the patient perspective.

Main Methods:

  • Semi-structured interviews conducted with eight patients recruited from IA risk cohort studies.
  • Reflexive thematic analysis used for data interpretation.
  • Patient research partners involved in study design and analysis.

Main Results:

  • Identified three key themes: symptom experience, impact on daily life, and treatment expectations.
  • Patients described severe symptoms, activity limitations, and psychological distress.
  • Referral delays and concerns regarding medication side effects were common; information gaps were noted.

Conclusions:

  • The study provides valuable patient insights into palindromic rheumatism.
  • Findings underscore the severity of PR symptoms and their impact.
  • Standardizing classification and outcome measures is essential for future clinical trials.