title: A case of acute rheumatic fever accompanied by transient aortic regurgitation.
abstract: Though acute rheumatic fever (RF) is now rare in Japan, it continues to be an important disease condition that physicians should be prepared to diagnose and treat. We describe a patient with acute RF accompanied by transient aortic regurgitation (AR). The AR was detected only by echocardiography. There were no other indications, and it disappeared after treatment with prednisolone. The changes in cardiac valves in the early phase of RF have been the subject of only a few case studies. Echocardiography is quite valuable in the workup of patients with acute RF and should be performed even if there are no signs of cardiac involvement.
authors.affiliation: First Department of Medicine, Shinshu University School of Medicine, Matsumoto, Japan.
authors.forename: Motonori
authors.initials: M
authors.lastname: Hayashi
authors.forename: Masamichi
authors.initials: M
authors.lastname: Miyoshi
authors.forename: Junko
authors.initials: J
authors.lastname: Yoshikawa
authors.forename: Shin-ichiro
authors.initials: S
authors.lastname: Uchikawa
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Imamura
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Yazaki
authors.forename: Osamu
authors.initials: O
authors.lastname: Kinoshita
authors.forename: Keishi
authors.initials: K
authors.lastname: Kubo
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001022:Aortic Valve Insufficiency / Q000150:complications* / Q000000981:diagnostic imaging; D004562:Electrocardiography; D006801:Humans; D008297:Male; D011239:Prednisolone / Q000627:therapeutic use; D012213:Rheumatic Fever / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D012214:Rheumatic Heart Disease / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D014463:Ultrasonography
chemical_list: D000893:Anti-Inflammatory Agents; D011239:Prednisolone