[1994年至1999年期间，圣路易斯波托西和墨西哥城两家医院的风湿热情况]

[Rheumatic fever in the 5-year period of 1994-1999 at 2 hospitals in San Luis Potosi and Mexico D.F].

作者信息

Soto López M E, Cordera González de Cosío F, Estrada L, Guel L, Abud Mendoza C, Reyes P A

机构信息

Departamento de Inmunología, Instituto Nacional de Cardiología Ignacio Chávez, INCICH, Juan Badiano No. 1, 14080 México, D.F.

出版信息

Arch Cardiol Mex. 2001 Apr-Jun;71(2):127-35.

PMID:11565304

Abstract

OBJECTIVE

To assess the incidence of acute Rheumatic Fever (ARF).

PATIENTS AND METHODS

A retrospective, descriptive, observational study on the first attack and recurrence was performed in a general hospital and a reference center.

RESULTS

By Jones criteria: 67 cases, 39 women and 28 men; 58% first attack, 42% recurrence. Higher incidence during spring-winter. The most common major criteria were: carditis, polyarthritis. The most common minor criteria were: fever, arthralgias and acute phase reaction markers. No differences between hospitals were noted. Evidence of contact with streptococcus was found. Mitral, aortic and tricuspid valves were commonly affected. Incidence in the age group > 5 < 20 was 7/1000.

DISCUSSION

Incidence of ARF has decreased, but has not been eradicated. It occurs in developing countries, where it remains an issue of public health. Failures in clinical suspicion, prophylaxis, and adherence to treatment influence this situation. Education for health, early diagnosis, and primary and secondary prophylaxis should be reinforced.

摘要

目的

评估急性风湿热（ARF）的发病率。

患者与方法

在一家综合医院和一个参考中心对首次发作和复发情况进行了一项回顾性、描述性、观察性研究。

结果

根据琼斯标准：67例患者，39名女性和28名男性；58%为首次发作，42%为复发。冬春季节发病率较高。最常见的主要标准为：心脏炎、多关节炎。最常见的次要标准为：发热、关节痛和急性期反应标志物。未发现各医院之间存在差异。发现有与链球菌接触的证据。二尖瓣、主动脉瓣和三尖瓣常受累。年龄>5岁<20岁组的发病率为7/1000。