title: [Adult-onset acute rheumatic fever: 4 cases in Guadeloupe].
abstract: OBJECTIVE
  Rheumatic fever has become infrequent in developed countries. Recent regional epidemics, particularly in North America, brought our attention to this disease in our area. In the French Caribbean Islands, rheumatic fever remains an important health problem despite much progress in the last 15 years.
  
  
  METHODS
  A retrospective survey over the last 5 years identified 19 cases of rheumatic fever in Guadeloupe in subjects over 19 years of age.
  
  
  RESULTS
  Among these subjects 4 cases of rheumatic fever beginning in adulthood were analysed and compared with data in the literature.
  
  
  CONCLUSIONS
  The diagnosis of rheumatic fever beginning in adulthood is difficult to establish. Joint symptoms are variable and cardiac involvement, which occurs in 30 to 40% of the cases, is highly suggestive. The kinetics of antistreptococci antibodies confirms the diagnosis.
authors.affiliation: Service de Médecine interne, CHG Basse Terre-Saint Claude, Guadeloupe.
authors.forename: F
authors.initials: F
authors.lastname: Cnudde
authors.forename: A
authors.initials: A
authors.lastname: Lalande
authors.forename: J M
authors.initials: JM
authors.lastname: Gabriel
authors.forename: C
authors.initials: C
authors.lastname: Monthouel-Valere
mesh_terms: D000328:Adult; D005260:Female; D019430:Guadeloupe; D006801:Humans; D008297:Male; D008875:Middle Aged; D009205:Myocarditis / Q000209:etiology; D012189:Retrospective Studies; D012213:Rheumatic Fever / Q000175:diagnosis* / Q000503:physiopathology; D013997:Time Factors