title: Sydenham's chorea: not gone but perhaps forgotten.
abstract: Sydenham's chorea (SC) is characterised by chorea, emotional lability and hypotonia. In this study, we investigated the incidence and clinical presentation of childhood SC in Ireland (years 2006-2014). Nineteen cases were diagnosed. Five patients had rheumatic fever. An increasing trend with an incidence of 0.23/100 000 is reported. As most referral diagnoses included psychogenic illness, head injury and stroke, modern physicians may not be aware of this age old illness. A review of the manifestations and diagnosis of SC is presented.
authors.affiliation: Department of Paediatric Neurology, Temple St. Children's University Hospital, Dublin, Ireland.
authors.forename: Miranda
authors.initials: M
authors.lastname: Crealey
authors.affiliation: Department of Paediatric Neurology, Temple St. Children's University Hospital, Dublin, Ireland.
authors.forename: Nicholas M
authors.initials: NM
authors.lastname: Allen
authors.affiliation: Department of Paediatric Neurology, Our Lady's Children's Hospital, Crumlin, Dublin Ireland.
authors.forename: David
authors.initials: D
authors.lastname: Webb
authors.affiliation: Department of Paediatric Neurology, Our Lady's Children's Hospital, Crumlin, Dublin Ireland.
authors.forename: Anthony
authors.initials: A
authors.lastname: Bouldin
authors.affiliation: Department of Paediatric Neurology, Cork University Hospital, Dublin, Ireland.
authors.forename: Niamh
authors.initials: N
authors.lastname: Mc Sweeney
authors.affiliation: Department of Paediatric Neurology, Royal Children's Hospital, Belfast, Northern Ireland.
authors.forename: Deirdre
authors.initials: D
authors.lastname: Peake
authors.affiliation: Department of Paediatric Neurology, Royal Children's Hospital, Belfast, Northern Ireland.
authors.forename: Sandya
authors.initials: S
authors.lastname: Tirupathi
authors.affiliation: Department of Paediatric Infectious Disease, Our Lady's Children's Hospital, Crumlin, Dublin, Ireland.
authors.forename: Karina
authors.initials: K
authors.lastname: Butler
authors.affiliation: Department of Paediatric Neurology, Temple St. Children's University Hospital, Dublin, Ireland Academic Centre on Rare Diseases, School of Medicine and Medical Science, University College Dublin, Dublin, Ireland.
authors.forename: Mary D
authors.initials: MD
authors.lastname: King
mesh_terms: D000293:Adolescent; D002648:Child; D002819:Chorea / Q000175:diagnosis / Q000453:epidemiology*; D005260:Female; D006801:Humans; D015994:Incidence; D007494:Ireland / Q000453:epidemiology; D008297:Male; D012189:Retrospective Studies
keywords: carditis; group A streptococcus; hyperkinetic; movement disorder; rheumatic fever