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A Retrospective Evaluation of the Patients with Acute Rheumatic Fever Between 19902001 Acute rheumatic fever (ARF) is the major cause of acquired valvular disease of childhood. Although ARF and its most important sequela, Rheumatic Valvular Disease (RVD) are rare instances in developed countries, they are still important problems in underdeveloped and developing countries. Early diagnosis, treatment and compliance with secondary prophylaxis are important factors to prevent the sequela especially for populations in which predisposing environmental co nd itio ns can not be improved. So we have planned to determine the clinical features and the factors influencing the prognosis in ARF. In this study, 309 ARF patients who have been diagnosed and followed up between 1990-2001 in our hospital were included. The incidence of ARF and RVD did not show any difference from the previous decade. RVD was diagnosed in 70 percent of ARF patients and was usually mild in severity. This disturbingly high ratio of RVD underlies the value of echocardiographic study in all patients with ARF. Akut Romatizmal Ateş (ARA), çocukluk döneminde edinsel kalp hastalıklarınınönemli nedenidir. Gelişmiş ülkelerde ARA ve neden olduğu Romatizmal Kapak Hastalığı (RKH) az görülürken, az gelişmiş ve gelişmekte olan ülkelerde önemli bir sağlık sorunu olmaya devam etmektedir. Bu toplumlarda hastalığın erken dönemde tanınıp, tedavi edilmesi ve proflaksi-nin uygulanması, hastalığın sekellerini önlemek açısından büyük önem taşımaktadır. Bu yaklaşımdan yola çıkarak, ünitemizde son 11 yılda tanı alan ARA ve RKH olan hastaların sıklığını ve klinik bulgularını belirlemek amacıyla bu çalışma planlandı.Çalışmamızda 1990-2001 yılları arasında tanı alan ve düzenli olarak kontrollere gelen 309 ARA'li hasta değerlendirilmiştir. ARA ve RKH'nın görülme oranının önceki 10 yıldan farklılık göstermediği görülmüştür. Hastaların %70'inde RKH saptanmış ve hastaların çoğunluğunda kardit hafif şiddette bulunmuştur. Karditin bu kadar yüksek oranlarda görülmesi ürkütücü olduğu kadar, ekokardiyografik incelemenin kardit tanısındaki önemini göstermesi bakımından da dikkat çekicidir.
A Retrospective Evaluation of the Patients with Acute Rheumatic Fever Between 19902001 Acute Rheumatic Fever (ARF) is the major cause of acquired valve disease of childhood. Although ARF and its most important sequela, Rheumatic Valvular Disease (RVD) are rare instances in developed countries, they are still important problems in underdeveloped and developing countries. Early diagnosis, treatment and compliance with secondary prophylaxis are important factors to prevent the sequela especially for populations in which predisposition environmental co nd itio ns can not be improved. So we have planned to determine the clinical features and the factors influencing the prognosis in ARF. In this study, 309 ARF patients who have been diagnosed and followed up between 1990-2001 in our hospital were included. The incidence of ARF and RVD did not show any difference from the previous decade. RVD was diagnosed in 70 percent of ARF patients and was usually mild in severity. This disturbingly high ratio of RVD underlines the value of echocardiographic study in all patients with ARF. Acute rheumatism fever (ARA) is a major cause of infarctional heart disease in childhood. While ARA and the cause of the Romatism Cover Disease (RPH) are rare in developed countries, it continues to be a major health problem in less developed and developing countries. In these societies, the early recognition and treatment of the disease and the application of prophylaxis are of great importance for the prevention of the disease's scales. Based on this approach, this study was planned to determine the frequency and clinical findings of patients with ARA and RKH diagnosed in our unit in the last 11 years.In our study, 309 patients with ARA diagnosed and regularly checked were evaluated. ARA and RKH’s observation rates did not differ from the previous 10 years. In 70% of patients, RKH was detected and most patients had a slight heart disease. As it is terrible to see cardiitis at such high rates, it is also remarkable in terms of the importance of ecocardiographic examination in cardiitis diagnosis.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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