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儿童急性风湿热的临床经过在一些发展中国家的报告有很大的差异。心脏炎、充血性心力衰竭和死亡率极不一致。心脏炎的发生率从6.84％到83％不等。本文报道北印度102例儿童急性风湿热首次发作的临床表现。102例中关节炎占66.6％,舞蹈病占20.7％,心脏炎33.7％。心脏炎中22例较轻,12例较严重。关节炎 68个病人有单个或多个关节的红肿痛热。合併有心脏炎的15例,没有一例同时伴有舞蹈病。侵犯到多个关节的占87％,单个关节占13％。受侵关节的发生率依次为膝(86％)、踝(64.9％)、腕(28％)、髋(15％)、肘(11％)和肩(8％)。个别病人侵犯指掌关节和脊柱、下颌及跖关节。心脏炎急性心脏炎是急性风湿热引起死亡或心脏永久性损害的唯一原因。一些发展中国家报告心脏
The clinical course of acute rheumatic fever in children is quite different in some developing countries. Cardiac inflammation, congestive heart failure and mortality are extremely inconsistent. The incidence of heart inflammation ranged from 6.84% to 83%. This article reports the clinical manifestations of the first episode of acute rheumatic fever in 102 children in North India. Arthritis accounted for 66.6% in 102 cases, chorea accounted for 20.7% and carditis 33.7%. Cardiac inflammation in 22 cases lighter, 12 cases more serious. Arthritis 68 patients have single or multiple joint swelling and pain. There were 15 cases complicated with carditis, and none of them had chorea at the same time. Involved in multiple joints accounted for 87%, a single joint accounted for 13%. Invasive joints were followed by knee (86%), ankle (64.9%), wrist (28%), hip (15%), elbow (11%) and shoulder (8%). Invaded individual fingers palpate the joints and spine, mandible and plantar joints. Cardiac inflammation Acute carditis is the only cause of death or permanent heart damage due to acute rheumatic fever. Some developing countries report heart