In this article, we present a patient admitted to our clinic with clinical picture of HSP vasculitis, who developed acute rheumatic carditis
A short paragraph was included about the two-dimensional and Doppler echocardiography in evaluation of carditis
, however the conclusion was that "at present there is insufficient information to allow the use of echocardiography, including Doppler, to document valvular regurgitation without accompanying auscultatory findings as the sole criterion for valvulitis in Acute Rheumatic fever".
The duration depends on the type and severity of the manifestations and may range from 1 week (For isolated arthritis) to several weeks for severe carditis
. The ESR is a helpful guide to the rheumatic activity and therefore to the duration of restriction of activities.
Although we obtained the convalescent phase samples within 3 months after the diagnosis, most of patients (79.8%) had carditis
and valvular lesions.
These were patients with chorea, indolent carditis
and those with a previous history of Rheumatic fever or Rheumatic heart disease.
Migratory polyarthritis (80.9%) and carditis
(71.4%) were the most commonly documented major criteria.
There are several studies on the use of Echocardiography to enhance the yield of cases with carditis
. However, according to the proceedings of the Jones criteria workshop published in 1992, there are insufficient data to support a revision of the Jones criteria and reaffirmed the guidelines iterated in the 1992 statement.
Serum reaction complicated by acute carditis
. J Pediat 1940;17:801-5.
Similar to what has been reported by others, (1, 11) we found that PAM is significantly associated with chronic carditis
. Faller and Kirchner (12) postulated that pancreatic metaplasia can be regarded as the result of altered morphogenesis within the gastric mucosa.
was present in 37 (74%) of the children with ARF.
Of patients who present with chorea and no apparent carditis
, 20% may develop rheumatic disease after 20 years.
A diagnosis of ARA was made with carditis
as one major finding and increased acute phase reactants and arthralgia as two minor findings with a supportive finding of increased antistreptolysin-O titer.