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近年来,由于生活水平提高和医疗条件改善及抗生素的及时和广泛使用,典型风湿热在我国尤其是城市中已较少见[1]。除儿童风湿专科医师,其他儿科临床医师对该病认知仍有限。本文报道1例以舞蹈病为主要表现的儿童风湿热误诊病例,希望引起临床关注。1病历摘要患儿女,10岁。因“反复发作性肢体无力,腰背及关节酸痛5个月余,上肢不自主抽动,下肢跛行、语言障碍4个月余,听诊发现心脏杂音20余天”于2012-05-18第4次以
In recent years, due to the improvement of living standards and the improvement of medical conditions and the timely and extensive use of antibiotics, typical rheumatic fever is rare in China, especially in cities [1]. In addition to pediatric rheumatologists, other pediatric clinicians have limited knowledge of the disease. This article reports a case of chorea as the main manifestation of rheumatic fever cases of misdiagnosis in children, hoping to arouse clinical concerns. 1 medical records with children, 10 years old. Due to repeated episodes of limb weakness, back and joint pain more than 5 months, upper limb involuntary twitching, lower limb claudication, language disorder more than 4 months, auscultation found more than 20 days of heart murmur "on 2012-05-18 4th Times to