Atypical Articular Presentations in Indian Children With Rheumatic Fever

Bhutia, Euden; Kumar, Dinesh; Kundal, Mohan; Kishore, Sunil; Juneja, Atul

doi:10.1016/j.hlc.2017.03.159

Cited by 4 publications

(3 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Also, polyarticular afflictions were predominately nonmigratory (additive) in both atypical (74%) and typical (82%) cases. 19 In a study by Robazzi et al atypical pattern was observed in (70.9%) with predominant pattern being oligoarthritis (71%) followed by involvement of small joints and/or axial skeleton in 38.7%. 20 Banna et al observed atypical arthritis in 86.36 % of ARF patients associated with oligoarthritis, monoarthritis , polyadditive arthritis and small joint affliction in 43.18%, 27.27%, 15.90% and 9% respectively.…”

Section: Discussionmentioning

confidence: 93%

Atypical arthritis in a toddler: beware, save the heart

Boopathy

Thandapani

Arunagirinathan

2020

Int J Contemp Pediatr

View full text Add to dashboard Cite

Acute rheumatic fever still poses a dreadful threat to pediatric morbidity and mortality. A 2 year old toddler presented to us with non migratory polyarticular joint pain and swelling. General physical and systemic examination was normal. Local examination revealed swelling and tenderness of multiple small and large joints. Further evaluation fulfilled Modified Jones criteria and she was diagnosed to have acute rheumatic fever. Other close differentials were simultaneously ruled out. Child was started on naproxen because of aspirin toxicity. There was significant response for therapy and complete resolution of joint involvement was noted on follow up. We report this case to emphasize the fact that rheumatic fever might have bizarre clinical presentation and may also affect infants and toddlers deviating the typical age of onset. There is a need for earliest possible initiation of adequate management and follow up to prevent permanent cardiac complications. This warrants high index of suspicion even in uncommon age group.

show abstract

Section: Discussionmentioning

confidence: 93%

Atypical arthritis in a toddler: beware, save the heart

Boopathy

Thandapani

Arunagirinathan

2020

Int J Contemp Pediatr

View full text Add to dashboard Cite

show abstract

“…The most discriminative point in this case report is aphonia in the child presented with signs and symptoms of acute rheumatic fever, an infrequent case reported in the literature. Acute rheumatic fever continues to be a significant public health problem in developing nations [6]. A 13-year child who can speak but with an inaudible voice this condition is presented without an associated neurological injury and laryngeal structure damage; symptoms developed in a child after the onset of chorea, However, a rare association of acute rheumatic fever with speech was reported in Liaquat university civil hospital Jamshoro.…”

Section: Discussionmentioning

confidence: 99%

Unveiling the Silent Voice: A Rare Case of Speech Disorder in Acute Rheumatic Fever without Structural Damage

2023

CRVV

View full text Add to dashboard Cite

show abstract

“…All clinical manifestations exhibited by the three patients on this report are well-known complications of streptococcal infection and can occur in up to 50% in some reports. Axial involvement, including bilateral sacroiliitis, cervical and thoracic spine, has been described to occur between 5-51% in some series, in both ARF, especially in atypical presentation, and in PSRA [9,10]. The diagnosis was made by conventional radiography and ultrasound imaging, and might be associated or not with the presence of HLA-B27 positivity.…”

mentioning

confidence: 99%