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Akut romatizmal ateşli hastalarımızın retrospektif değerlendirilmesi

A retrospective follow-up on the patients with the acute rheumatic fever

Journal Name:

  • Selçuk Tıp Dergisi

Publication Year:

  • 2003

Key Words:

Keywords (Original Language):

Author NameUniversity of Author
Abstract (2. Language): 
Patients with acute rheumatlc fever, who were admitted to Pediatric Cardiology Unit of Selçuk University Meram Faculty of Medicine, were studied ret-rospectively to verify the clinical and laboratory profile of the disease. 395 cases were identified among patients admitted to the preseni institution. Age on admission was 5-18 years (mean 11.3±2.8), they were 213 (53.9%) boys, and 182 (46.1%) girls. Manifestations inciuded carditis 70.3%, arthritis 66.5%, Sydenham's chorea 22.2%, eritema marginatum 1 %,subcutaneous nodules 0.7%. Pericardial effusion was occurred in 3.5%. Mitral insuffi-ciency and aortic insufficiency and aortic insufficiency were occurred in 95.3% and 46.4%, respectively. The regur-gitation disappeared İn 23.6% and 33% of patients with mitral and aortic regurgitation, during follow-up. The caus-ing recurrence was the non-compliance with penicillin prophylaxis.
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Abstract (Original Language): 
Akut romatizmal ateş tartılı hastalarımızın klinik ve laboratuar özellikleri retrospektif olarak değerlendirildi. Hasta kayıtlarından akut romatizmal ateş tanılı 395 vaka seçildi. Hastaların atak anındaki başvuru yaşı 5-18 yaş (ortalama 11.3±2.8), cinsiyetleri 213 (% 53.9) erkek, 182 (%46,1) kız olarak belirlendi. Hastaların asıl klinik bulguları kardit %70.3, artrit % 66.5, Sydenham koresi % 22.2, eritema marginatum %1 ve subkütan nodul % 0.7 şeklinde idi. Perikardiyal efüzyona % 3.5 oranında rastlanıldı. Karditli hastalarda mitral ve aort yetmezliği sırasıyla % 95.3 ve % 46.4 oranında oluştu. Takip esnasında kapak yetmezlikleri % 23.6 ve % 33 oranında kayboldu. Penisilin profiaksisinin düzensiz uygulanması bazı hastalarda tekrarlamalara neden oldu.
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  • 1
15-19
  • Turkish

REFERENCES

References: 

1. El-Said GM. El-Refaee MM, Sorour KA, El-Said HG. Rheumatic fever and rheumatic heart disease. İn: Garson A, Bricker JT, Fisher DJ, Neisfı SR (editors). The science and practice of pedialrîc cardiology. 2nd ed. Baltimore: Williams&Wilkins:1998:p. 1691-724
2. Da Silva NA. Pereira BA. Acute rheumatic fever: stili a challenge. Rheum Dis Ciin North Am 1997;23:545-68.
3. Special wrîting group of the committee on rheumatic fever, endocarditis, and Kawasaki disease of the coun-cil on cardiovascular disease in the young. American Heart Association: Guidelines for the diagnosis of rheu¬matic fever: Jones criteria. updated 1992. JAMA 1992;268:1069-73.
4. Stollerman GH. Rheumatic fever. Lancet 1997;349:935-42.
5. Cassidy JT, Petiy RE. Textbook of pediatric rheumatol-ogy. 3rd ed. Philadelphia: WB Saunders Company; 1995:p.487-530.
6. Fiegenbaum H. Echocardiography. Philadelphia: Lea&Febiger, 1994: p.658-75.
7. Minich LL, Tani LY, Pagotto LT, Shaddy RE, Veasy LG. Doppler echocardiography distinguishes between physiologic and pathologic "silent" mitral regurgitation in patients with rheumatic fever. Clin Cardiol 1997;20:924-6.
8. Özkutiu S, Ayabakan C, Saraçlar M. Can subclînical valvitis detected by echocardiography be accepted as evidence of carditis in the diagnosis of acute rheumatic fever? Cardiol Young 2001;11:255-60.

9. Onwuchekura AL, Uguawa EC. Pattern of rheumatic heart disease in adults in Maiduguri - north east Nigeria. 1996;26:67-9.
10. Gus I. Zaslavsky C, Seger JM, Strehi Machado R. Epidemiology of acute rheumatic fever: a local study. Arq Bras Cardiol 1995:65:321-5.
11. Todd J. Rheumatic fever. in: Behrman RE, Kliegman RM, Arvin AM, Nelson WE (eds). Nelson textbook of pediatrics. 15th ed. Philadelphia: WB Saunders Company:1996:p.754-60.
12. Vasan RS, Shrivastava S, Vijayakumar M. Narang R, Lister BC, Namla J. Echocardiograohic evaluation of patients with acute rheumatic fever and rheumatic carditis. Circulation 1996;94(1):73-82.
13. Imamoğlu A. Tutar HE, Atalay Ş, Öcal B, Altuğ N. Koçak G ve ark. Akut ateşli romatizmalı hastaların ret¬rospektif incelenmesi ve klinik ve ekokardiyografik bul¬guların karşılaştırılması. Türk Kardiyol Dern Arş 1999;27:325-33.
14. Karaaslan S, Oran B. Reisli I. Erkul !. Acute rheumatic fever in Konya, Turkey. Pediatrics International 2000;42:71-5.
15. Saltık İL. Akut romatizmal ateş "on yıl aralık iki dönemin karşılaştırılması". Hacettepe Üniversitesi Tıp Fakültesi Çocuk Sağlığı ve Hastalıkları Anabiiim Dalı Uzmanlık Tezi, 1989.
16. Bitar FF, Hayek P, Gharzeddine W, Mikati M, Dbaiho GS. Rheumatic fever in children: a 15-year experience in a developing country. Pediatr Cardiol 2000; 21:119-22.

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