Rare Diseases Symptoms Automatic Extraction
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Acute rheumatic fever: case report and review for emergency physicians.
[acute rheumatic fever]
Acute
rheumatic
fever
(
ARF
)
,
a
consequence
of
group
A
streptococcal
(
GAS
)
pharyngitis
,
is
characterized
by
nonsuppurative
inflammatory
lesions
of
the
joints
as
well
as
subcutaneous
and
cardiac
tissues
.
Although
the
overall
incidence
of
ARF
in
the
United
States
has
declined
in
recent
years
,
there
have
been
reports
of
outbreaks
in
closed
populations
,
as
well
as
sporadic
cases
.
Traditionally
considered
a
disease
of
children
,
adults
may
also
acquire
the
disease
.
Because
of
declining
incidence
and
a
presentation
that
may
overlap
with
other
conditions
,
ARF
may
not
be
considered
in
the
differential
diagnosis
.
Failure
to
recognize
ARF
may
result
in
delayed
diagnosis
and
recurrent
disease
.
This
report
is
designed
to
assist
emergency
physicians
in
identifying
components
of
the
history
and
physical
examination
that
are
important
to
making
a
timely
diagnosis
of
ARF
.
An
otherwise
healthy
man
presented
to
the
emergency
department
(
ED
)
with
clinical
findings
consistent
with
ARF
.
Despite
presentation
to
the
ED
on
three
occasions
,
during
which
he
was
treated
for
various
conditions
,
it
was
not
until
the
3
(
rd
)
encounter
that
the
diagnosis
of
ARF
was
considered
.
Failure
to
recognize
ARF
may
result
in
repeated
ED
visits
,
delayed
diagnosis
,
and
prolonged
patient
discomfort
.
Recognition
of
the
condition
is
important
to
prevent
recurrent
disease
.
Diseases
Validation
Diseases presenting
"recurrent disease"
symptom
acute rheumatic fever
cholangiocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
familial hypocalciuric hypercalcemia
junctional epidermolysis bullosa
pleomorphic liposarcoma
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