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Rheumatism, I believe we will not be strange, and often heard that so and so has rheumatoid arthritis, and rheumatic heart disease the other. Rheumatism is a disease in the elderly tend to. But here, there is a particularly popular in children with rheumatism, especially the 5-year-old children, the disease is acute rheumatic fever.
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Rheumatic fever is an acute inflammation involving multi-system disease, is the most common rheumatic disease, can be recurrent, but also left a permanent heart valve disease, seriously affecting the children in the future earning capacity and life skills. Fortunately, with the antibiotics is constant progress in recent years, the incidence of the disease has decreased significantly, but also become the typical clinical manifestations, the truth is easier, does not mean there is no decline in incidence rates, which should attract the attention of all parents.
First, the cause: not fully clear, the majority of that group with the A beta hemolytic streptococcal infections after the immune response caused by the human body, and also in the treatment of choice for the appropriate antibiotic for this bacteria, and there are drugs with a suppressed immune response .
Second, the clinical manifestations:
1, the general performance. Fever, half of the children 1 to 4 weeks prior to the onset there is a history of upper respiratory tract i


nfection, and then fever, usually between 38 to 40 degrees Celsius; also part of the children is the low heat or no heat. In addition there will be lack of energy, loss of appetite, pale, sweating, nasal bleeding and other symptoms.
2, carditis performance. Carditis include myocarditis, endocarditis and pericarditis, there will be a corresponding clinical signs and ECG characteristics. The feeling is that children with chest tightness, palpitation, fatigue, weakness.
3, arthritis. About half of the children have arthritis, the typical person is a migratory arthritis, joint pain is a few days of this, but a few days later another joint pain. Involving the major joints of the body's major joints, such as the knee, ankle, elbow and wrist joints. Each joint pain subsided after a few days will be automatically, and without leaving scars, but there will be involvement of other joints.
4, chorea. Generally more common in girls, is the performance of brain damage, manifested as involuntary movements, ask her why, she said she did not know, because it is not beyond the control of children.
5, skin symptoms. Skin nodules occur in children, more than exist in the elbow, knee, ankle and other large joints near the diameter of 0.1 ~ 1cm, hard but not tender, about 3 weeks will disappear. In addition there will be damage to the ring such as erythema and skin.
Third, the treatment: As the cause of this disease is not completely clear, so some of the treatments are empirical treatment, but after clinical testing, the effect of these treatments is good. First off, good for heavy children to reach this point, because they would not want to work, to light a little difficult to implement in children. The second is to eliminate Streptococcus infections, with intramuscular injection of penicillin, use erythromycin allergy. In addition to the anti-rheumatic therapy, anti-inflammatory fever with aspirin, aspirin can not control the symptoms of the hormone will be a period of time.
Fourth, prevention: firstly, to improve the living environment, enhance physical fitness, reduce respiratory tract infections. The second early diagnosis of respiratory tract infection caused by streptococcus, once diagnosed, should be given a thorough treatment of penicillin or erythromycin. The third is after the diagnosis of rheumatic fever should be long-term antibiotic therapy, now have long-acting penicillin allergy use erythromycin.
I believe that with a clear cause of acute rheumatic fever, the treatment will have a leap.Smile Network () feature articles, reprint please indicate the and link, or keep intact the information.

Medical HEALTH "> Medical Rheumatology Summary of Diagnosis and treatment of children with acute rheumatic fever recommend this article online full-text collection of cats, Jiangbei District, Chongqing Yuan Wanqiong Stone Community Health Center, 400 025," Modern Drug Application, "2008 Volume 2, No. 12 Investigation of fast food awards Abstract: Treatment of children with acute rheumatic fever as aspirin drug of choice, the conventional dose of 80 ~ 100mg/kgd, 3 times 4 times orally. Of low-dose aspirin has been cured of acute rheumatic fever in 10 cases, 4 cases were male, female 6; age of 10 years maximum, minimum 7 years of age; treatment time up to 70d, shortest 26d. Pages: Page 1 Page Range :112-112 Key words: acute rheumatic fever diagnosis and treatment of children with low-dose aspirin treatment of conventional dose treatment time subject classification: R593.21 [medicine, HEALTH "within SCIENCES" systemic dis autoimmune dis autoimmune diseases, connective tissue dise rheumatic fever] R725.631 [medicine, HEALTH "Pediat Pediatric within SCIENCES" respiratory and chest diseases in children] Related articles: subject


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