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Akut romatizmal ateşli hastalarımızın retrospektif değerlendirilmesi

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

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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.
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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