Научно-практическая ревматология (Aug 2003)

Modern rheumatic fever clinical features in children of Sakha (Yakut) republic

  • M V Handy,
  • N N Gryaznuhina,
  • V M Argunova,
  • A. M. Alexeeva,
  • G G Dranaeva,
  • S S Muhametova

DOI
https://doi.org/10.14412/1995-4484-2003-1345
Journal volume & issue
Vol. 41, no. 4
pp. 98 – 100

Abstract

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Objective. To analyse incidence and clinical features of rheumatic fever (RF) in children of Sakha (Yakut) republic in 1974-2001 years. Material and methods. Sakha (Yakut) republic Ministry of Health Protection reports for 1999-2001 years. Case histories of 75 children admitted to pediatric cardiologic department of republic hospital №1. Results. In 2001 RF and chronic rheumatic heart diseases (CRHD) part among all rheumatic disease constituted 45,5%. RF incidence was 0,5 for 1000 children (in 1974 - 0,36 %o), acute (primary) RF - 0, 2 %o, CRHD - 0,8%c including 0,5%o with rheumatic heart disease (RHD). More than 60% of children admitted in 2001 were 4-10 years old. 65% of children were admitted in winter and early spring months. In 45,2% of admitted pts RF attack was connected with infection history (in 1974 - 76,2%). In primary as well as in repeat RF attack rheumatic process in nearly 80% of cases had signs of I or II activity degree. Primary RF attack ended with RHD formation in 25%, repeat - in 80% of children.

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