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Incidence and clinical features of acute rheumatic fever in Kayseri, Central Anatolia, 1998-2011.
[acute rheumatic fever]
In
developing
countries
,
acute
rheumatic
fever
is
the
most
common
cause
of
acquired
heart
disease
in
the
paediatric
and
adolescent
population
.
It
is
believed
that
vulnerability
to
developing
acute
rheumatic
fever
is
associated
with
several
factors
such
as
socio-economic
and
living
conditions
.
Aim
Determine
the
incidence
and
clinical
characteristics
of
acute
rheumatic
fever
in
the
Central
Anatolia
region
of
Kayseri
within
the
last
14
years
,
and
to
make
a
comparison
of
two
7
-
year
periods
.
Material
and
methods
We
performed
a
retrospective
analysis
of
624
patients
who
were
diagnosed
with
acute
rheumatic
fever
at
the
Department
of
Pediatric
Cardiology
in
the
Medical
Faculty
of
Erciyes
University
between
January
,
1998
and
December
,
2011
.
The
mean
age
of
patients
was
10
.
9
±
2
.
7
years
.
The
female
/
male
ratio
was
1
.
4
.
When
patients
were
categorised
according
to
age
groups
,
the
largest
group
represented
376
patients
(
60
.
3
%
)
aged
between
10
and
14
years
.
The
estimated
incidence
rate
of
acute
rheumatic
fever
was
7
.
4
/
100
,
000
in
the
Central
Anatolia
region
of
Kayseri
.
Among
the
major
findings
,
the
most
common
included
carditis
at
54
%
,
arthritis
at
35
%
,
Sydenham
's
chorea
at
25
%
,
and
subcutaneous
nodules
at
0
.
5
%
,
respectively
.
No
significant
difference
was
found
between
the
first
7
-
year
period
and
second
7
-
year
period
in
distributions
of
age
,
gender
,
and
major
findings
.
Although
there
has
been
socio-economic
development
in
Turkey
in
the
recent
years
,
the
incidence
of
acute
rheumatic
fever
is
still
high
in
the
Central
Anatolia
region
of
Kayseri
.
Diseases
Validation
Diseases presenting
"common cause"
symptom
achondroplasia
acute rheumatic fever
adrenomyeloneuropathy
allergic bronchopulmonary aspergillosis
alpha-thalassemia
aniridia
aromatase deficiency
benign recurrent intrahepatic cholestasis
cadasil
child syndrome
coats disease
congenital adrenal hyperplasia
congenital toxoplasmosis
cushing syndrome
erdheim-chester disease
esophageal adenocarcinoma
esophageal squamous cell carcinoma
fabry disease
familial hypocalciuric hypercalcemia
hydrocephalus with stenosis of the aqueduct of sylvius
inclusion body myositis
junctional epidermolysis bullosa
kabuki syndrome
lamellar ichthyosis
legionellosis
liposarcoma
locked-in syndrome
malignant atrophic papulosis
neonatal adrenoleukodystrophy
neuralgic amyotrophy
pendred syndrome
primary hyperoxaluria type 1
pyruvate dehydrogenase deficiency
scrub typhus
systemic capillary leak syndrome
thoracic outlet syndrome
typhoid
von hippel-lindau disease
wiskott-aldrich syndrome
zellweger syndrome
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