A STUDY OF PROFILE AND PATTERNS OF “JOINT INVOLVEMENT” IN UNDER 15 YEARS AGE GROUP CHILDREN WITH ACUTE RHEUMATIC FEVER AND RHEUMATIC HEART DISEASE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2015, Vol 4, Issue 21
Abstract
[b]CONTEXT (BACKGROUND)[/b]: Acute Rheumatic fever / Rheumatic Heart disease is the most common acquired childhood heart disease diagnosis made in India. Poly Arthritis is one of the common manifestations of the disease and making it one among many differential diagnoses for subacute arthritis. [b]AIMS & OBJECTIVES[/b]: To study the profile and patterns of joint involvement in children with Acute Rheumatic fever / Rheumatic Heart disease.[b] MATERIALS & METHODS[/b]: The Study was conducted in a tertiary care hospital for 2 years period on less than 15 years children diagnosed as Acute Rheumatic fever / Rheumatic Heart disease as per Jones criteria (Updated 1992). [b]RESULTS[/b]: Joint involvement is one of the common manifestations of Acute Rheumatic fever / Rheumatic Heart disease. In our study Joint involvement is found in 50% cases (18 out of 36 cases) i.e., 87.5% (7 out of 8cases) of first attack cases and 39.28 %( 11 out 28 cases) of reactivation cases. Further we found Polyarthritis is the predominant pattern of joint involvement.[b] CONCLUSION:[/b] Basing on the results of our study we conclude that Joint involvement was observed in majority of cases, more so in first attack cases of Acute Rheumatic fever. Further Polyarthritis is the predominant pattern in our study. We found Knee Joint involvement as most common joint to be involved in children with Acute Rheumatic fever / Rheumatic Heart disease.
Authors and Affiliations
Bhavani Shankar, Ramu P
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