Secondary Tics

Cardoso, Francisco

doi:10.1002/9781444346183.ch13

Cited by 1 publication

(3 citation statements)

References 57 publications

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“…Finally, the surveillance we report here focusses on first presentations of SC in children. There has been very limited study of the course of SC over longer periods of time, and into adulthood, although older data suggest that recurrence of chorea may occur in up to 20 to 40% of cases 7 31…”

Section: Discussionmentioning

confidence: 99%

“…The chorea is often accompanied by emotional and behavioural symptoms, including anxiety, tics, obsessions and compulsions that may be severe and persistent 4. Symptoms usually resolve within 2 years, but for 20% may become chronic 5–7…”

Section: Introductionmentioning

confidence: 99%

“…Previously, only single-centre retrospective studies in paediatrics have taken place in Western Europe, but such methods have limitations in capturing cases and clinical detail 8 9. Reports also suggest that SC is often not recognised promptly 6 7 10. Rare conditions may have greater impact on families, who may become more isolated, lack information on prognosis and experience more diagnostic delays 11–16.…”

Section: Introductionmentioning

confidence: 99%

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Childhood/adolescent Sydenham’s chorea in the UK and Ireland: a BPSU/CAPSS surveillance study

et al. 2023

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ObjectiveTo conduct the first prospective surveillance study of Sydenham’s chorea (SC) in the UK and Ireland, and to describe the current paediatric and child psychiatric service-related incidence, presentation and management of SC in children and young people aged 0–16 years.DesignSurveillance study of first presentations of SC reported by paediatricians via the British Paediatric Surveillance Unit (BPSU) and all presentations of SC reported by child and adolescent psychiatrists through the Child and Adolescent Psychiatry Surveillance System (CAPSS).ResultsOver 24 months from November 2018, 72 reports were made via BPSU, of which 43 met the surveillance case definition of being eligible cases of suspected or confirmed SC. This translates to an estimated paediatric service-related incidence rate of new SC cases of 0.16 per 100 000 children aged 0–16 per year in the UK. No reports were made via CAPSS over the 18-month reporting period, although over 75% of BPSU cases presented with emotional and/or behavioural symptoms. Almost all cases were prescribed courses of antibiotics of varying duration, and around a quarter of cases (22%) received immunomodulatory treatment.ConclusionsSC remains a rare condition in the UK and Ireland but has not disappeared. Our findings emphasise the impact that the condition can have on children’s functioning and confirm that paediatricians and child psychiatrists should remain vigilant to its presenting features, which commonly include emotional and behavioural symptoms. There is a further need for development of consensus around identification, diagnosis and management across child health settings.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%