Management of rheumatic chorea -: An observational study

被引：18

作者：

Araújo, APDC ^{[1
]}

Pádua, PAB ^{[1
]}

Maia, HS ^{[1
]}

机构：

[1] Univ Fed Rio de Janeiro, IPPMG, Serv Neurol, Rio De Janeiro, RJ, Brazil

来源：

ARQUIVOS DE NEURO-PSIQUIATRIA | 2002年 / 60卷 / 2A期

关键词：

chorea; rheumatic fever; therapy; prognosis;

D O I：

10.1590/S0004-282X2002000200008

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

Background: Rheumatic chorea (RC) has recently been linked to an antibody-mediated immune mechanism. Objective/Method: To verify if this knowledge reflected in management changes we conceived a descriptive study. Results: The medical charts of 20 children (13 females) aged 6 to 12 years (mean 8 years), diagnosed as RC from June 1996 to June 1999, were reviewed. All patients received some medical treatment. Haloperidol was the most prescribed medication (15 patients - 75%). Sulpiride, diazepam and valproate were also used as symptomatic treatment. Imune-modulating therapy with prednisone was prescribed for seven children. The shortest course of chorea (16 days) occurred in a patient treated with prednisone, Conclusion: Prednisone has been prescribed for rheumatic chorea besides the traditional symptomatic approach. A great variety of antichoreic drugs are being employed.

引用

页码：231 / 233

页数：3

共 22 条

[1] Abraham S, 1997, ADV EXP MED BIOL, V418, P153
[2] AZEVEDO ECL, 1993, MANUAL REUMATOLOGIA, P27
[3] FOLLOW-UP-STUDY OF SYDENHAMS CHOREA
BIRD, MT
PALKES, H
PRENSKY, AL
[J]. NEUROLOGY, 1976, 26 (07) : 601 - 606
[4] BRONZE MS, 1993, J IMMUNOL, V151, P2820
[5] Chorea in fifty consecutive patients with rheumatic fever
Cardoso, F
Eduardo, C
Silva, AP
Mota, CCC
[J]. MOVEMENT DISORDERS, 1997, 12 (05) : 701 - 703
[6] Sydenham's chorea: MRI and proton spectroscopy
Castillo, M
Kwock, L
Arbelaez, A
[J]. NEURORADIOLOGY, 1999, 41 (12) : 943 - 945
[7] GUIDELINES FOR THE DIAGNOSIS OF RHEUMATIC-FEVER - JONES CRITERIA, 1992 UPDATE
DAJANI, AS
AYOUB, E
BIERMAN, FZ
BISNO, AL
DENNY, FW
DURACK, DT
FERRIERI, P
FREED, M
GERBER, M
KAPLAN, EL
KARCHMER, AW
MARKOWITZ, M
RAHIMTOOLA, SH
SHULMAN, ST
STOLLERMAN, G
TAKAHASHI, M
TARANTA, A
TAUBERT, KA
WILSON, W
[J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1992, 268 (15): : 2069 - 2073
[8] EFFECTIVENESS OF SODIUM VALPROATE IN THE TREATMENT OF SYDENHAMS CHOREA
DAOUD, AS
ZAKI, M
SHAKIR, R
ALSALEH, Q
[J]. NEUROLOGY, 1990, 40 (07) : 1140 - 1141
[9] CHOREA AS A MANIFESTATION OF RHEUMATIC-FEVER - A 30-YEAR SURVEY (1960-1990)
ESHEL, G
LAHAT, E
AZIZI, E
GROSS, B
ALADJEM, M
[J]. EUROPEAN JOURNAL OF PEDIATRICS, 1993, 152 (08) : 645 - 646
[10] Fritel G, 1965, Clinique (Paris), V60, P605

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