ArticleJournal of the Saudi Heart Association2009
The pattern of acute rheumatic fever in children: Experience at the children's hospital, Riyadh, Saudi Arabia.
Article in Journal of the Saudi Heart Association, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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13 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Systematic Literature Review on the Incidence and Prevalence of Heart Failure in Children and Adolescents.Pediatric cardiology · 2018Pooled it
- Risk Factors of Rheumatic Heart Disease in a Children's Hospital in Khartoum: A Case-Control Study.Cureus · 2024Article
- Acute Rheumatic Fever in Children: The Known and the Unknown Among Saudi Mothers in the Jazan Region.Cureus · 2024Article
- A case report of isolated rheumatic tricuspid regurgitation and pericarditis.Journal of Taibah University Medical Sciences · 2021Article
- Acute rheumatic fever diagnosis and management: Review of the global implications of the new revised diagnostic criteria with a focus on Saudi Arabia.Journal of the Saudi Heart Association · 2019Review
- Surveillance of the Most Prevalent Medical Diseases among Pediatric Age Groups and Evaluation of the Control Measures Used At Tabuk Hospitals, Saudi Arabia.Open access Macedonian journal of medical sciences · 2017Article
- Guidelines for the secondary prevention of rheumatic heart disease: Endorsed by Saudi Pediatric Infectious Diseases Society (SPIDS).International journal of pediatrics & adolescent medicine · 2017Article
- Impact of MIF Gene Promoter Variations on Risk of Rheumatic Heart Disease and Its Age of Onset in Saudi Arabian Patients.Frontiers in immunology · 2016Article
- IL10 Promoter Polymorphisms are Associated with Rheumatic Heart Disease in Saudi Arabian Patients.Pediatric cardiology · 2016Article
- Rheumatic fever and rheumatic heart disease among children presenting to two referral hospitals in Harare, Zimbabwe.South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde · 2015Article
- Angiotensin-converting enzyme gene insertion/deletion polymorphism in Saudi patients with rheumatic heart disease.Saudi medical journal · 2015Article
- Sydenham chorea in a 5-year-old Saudi patient.Neurosciences (Riyadh, Saudi Arabia) · 2014Article
- Acute rheumatic fever in the Central Anatolia Region of Turkey: a 30-year experience in a single center.European journal of pediatrics · 2012Article
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe study was carried out in Riyadh City Hospital to determine the hospital prevalence of acute rheumatic fever (ARF), its characteristics and to determine the proportion of the ARF population that have recurrent attacks.
methodsThe study was an analysis of 83 children with ARF, admitted to the Children's Hospital, Riyadh, over a 10-year period (1994-2003). The diagnosis of ARF was based on clinical features as defined in the modified Jones criteria with evidence of recent streptococcal infection. The diagnosis of recurrence of rheumatic fever in children with rheumatic heart disease was based on the presence of one major criterion apart from carditis or two minor criteria, in addition to evidence of preceding streptococcal infection.
resultsThe mean age at presentation was 9 years. In 31 (37%) cases, arthritis was the only major Jones criterion. In 30 (36%) others, arthritis was associated with carditis and in 3 (4%), with chorea. Cardiac involvement was documented in 44 (53%) cases; it occurred alone in 5 (6%), with arthritis in 30 (36%), and with chorea in 9 (11%) others. Among the 44 with carditis, the pattern of cardiac involvement was valvular only (mild carditis) in 30 (68%), while it was severe in the remaining 14 (32%) cases who also had heart failure. The involvement of the mitral valve alone occurred in 26 (59%) cases in the form mitral regurgitation, while both aortic and mitral valve regurgitation were present in 11 (25%) cases, and aortic valve regurgitation alone in four (9%) others. Chorea was the only major criterion of ARF in 5 children (6%), while it occurred in association with other major criteria in 12 (15%) others. Nineteen (23%) children had recurrent attacks of ARF.
conclusionARF continues to occur in Saudi Arabia in the period (1994-2003), despite the progress made in the socio-economic development of the country, and this is often associated with severe cardiac involvement.
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