Hemichorea as a presentation of acute rheumatic fever.
There has been a decline in the incidence of acute rheumatic fever in recent decades in developed countries and in Taiwan. Sydenham's chorea, a major manifestation of rheumatic fever, was the most common cause of chorea in children in the past. But the incidence of Sydenham's chorea has declined in recent years in concert with the decline in rheumatic fever. Sydenham's chorea is usually bilateral and female predominant. Hemichorea is rare. We report on a 10-year-old boy who presented with progressive right side involuntary movements, an apical systolic murmur, prolonged PR interval, and elevated antistreptolysin O titer, who was diagnosed with acute rheumatic fever.
Lin
Wan-Shan
WS
Department of Pediatrics, Chang Gung Memorial Hospital, Keelung, Taiwan, R.O.C.
Su
Wen-Jen
WJ
Lin
Kuang-Lin
KL
Huang
Jing-Long
JL
Wang
Huei-Shyong
HS
D000208:Acute Disease; D002648:Child; D002819:Chorea / Q000209:etiology*; D006801:Humans; D008297:Male; D012213:Rheumatic Fever / Q000150:complications*