Rare Diseases Symptoms Automatic Extraction
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Clinical and echocardiographic features of children with rheumatic heart disease and their serum cytokine profile.
[acute rheumatic fever]
Acute
rheumatic
fever
(
ARF
)
and
rheumatic
heart
disease
(
RHD
)
constitute
important
public
health
problems
in
developing
countries
.
Children
with
ARF
and
RHD
seen
at
Children
's
Hospital
-
Sudan
from
May
2008
-
2009
were
examined
clinically
and
by
echocardiography
.
Blood
cytokines
(
interleukin
10
(
IL
10
)
,
Tumor
necrosis
factor
alpha
(
TNF
-
alpha
)
and
interferon
gamma
(
IFN-gamma
)
were
done
.
Thirty
six
children
were
enrolled
;
63
%
had
established
RHD
,
and
37
%
ARF
.
Mitral
regurgitation
(
MR
)
was
the
most
common
lesion
(
94
%
)
.
Ninety
five
percent
of
the
valve
lesions
were
severe
.
The
serum
interleukin
IL
10
level
ranged
between
3
-
6
pg
/
ml
.
TNF
alpha
levels
were
9
-
100
pg
/
ml
in
12
patients
(
40
%
)
,
101
-
1000
pg
/
ml
in
10
patients
(
33
%
)
,
more
than
1000
in
8
patients
(
26
%
)
.
The
level
of
IFN
gamma
ranged
between
2
-
7
pg
/
m
in
all
patients
except
2
(
84
and
135
pg
/
ml
)
.
RHD
is
manifested
with
severe
valvular
lesions
and
a
high
TNF
alpha
indicating
and
ongoing
inflammation
.
Diseases
Validation
Diseases presenting
"fever"
symptom
22q11.2 deletion syndrome
acute rheumatic fever
alexander disease
allergic bronchopulmonary aspergillosis
canavan disease
carcinoma of the gallbladder
child syndrome
congenital toxoplasmosis
cushing syndrome
cystinuria
dracunculiasis
erdheim-chester disease
esophageal adenocarcinoma
esophageal carcinoma
familial mediterranean fever
focal myositis
hodgkin lymphoma, classical
lamellar ichthyosis
legionellosis
locked-in syndrome
malignant atrophic papulosis
neonatal adrenoleukodystrophy
neuralgic amyotrophy
oculocutaneous albinism
papillon-lefèvre syndrome
pyomyositis
pyruvate dehydrogenase deficiency
scrub typhus
severe combined immunodeficiency
sneddon syndrome
systemic capillary leak syndrome
triple a syndrome
typhoid
waldenström macroglobulinemia
wolf-hirschhorn syndrome
This symptom has already been validated