Khriesat I, Najada A, Al-Hakim F, Abu-Haweleh A
Queen Alia Heart Institute, Paediatric Cardiology Division, Amman, Jordan.
East Mediterr Health J. 2003 Sep-Nov;9(5-6):981-7.
Rheumatic fever remains a significant health problem in Jordan. We retrospectively reviewed medical charts of 28 boys and 22 girls (mean age at presentation 10.5 +/- 2.6 years) with confirmed diagnosis based on modified Jones criteria at Queen Alia Heart Institute from February 1999 to February 2002. Arthritis was the commonest major manifestation (88%; 68% migratory), carditis was second commonest (48%; 8% silent carditis) and chorea was seen in 6%. None had subcutaneous nodules or erythema marginatum. The mitral valve was most commonly affected (80%); both mitral and aortic valves were affected in 25%. Pericarditis was seen in 12.5% and acute congestive heart failure in 4%. Practitioners should be aware of diverse clinical presentations and emphasize strict adherence to prophylaxis guidelines.
风湿热在约旦仍然是一个严重的健康问题。我们回顾性地查阅了1999年2月至2002年2月期间在阿莉亚王后心脏研究所根据改良琼斯标准确诊的28名男孩和22名女孩（就诊时平均年龄10.5±2.6岁）的病历。关节炎是最常见的主要表现（88%；68%为游走性），心脏炎是第二常见的（48%；8%为隐匿性心脏炎），舞蹈病的发生率为6%。无人有皮下结节或边缘性红斑。二尖瓣最常受累（80%）；二尖瓣和主动脉瓣均受累的占25%。心包炎的发生率为12.5%，急性充血性心力衰竭的发生率为4%。从业者应了解各种临床表现，并强调严格遵守预防指南。
