Lahat E, Azizi E, Eshel G, Mundel G
Helv Paediatr Acta. 1986 Mar;41(6):549-52.
Most cases of acute rheumatic fever (ARF) present with arthritis, carditis or choreiform movements. However, a variety of clinical manifestations which are not included in the modified Jones criteria can be the presenting symptoms of the disease. We describe a case of a 10-year-old boy with ARF who presented with recurrent episodes of abdominal and cervical pain who later developed an active carditis which established the diagnosis of ARF. A high degree of suspicion and an awareness of the less common manifestations of ARF are necessary to make an early diagnosis and initiate appropriate treatment in certain cases of ARF.
大多数急性风湿热（ARF）病例表现为关节炎、心脏炎或舞蹈样动作。然而，改良琼斯标准未涵盖的多种临床表现可能是该疾病的首发症状。我们描述了一例10岁患急性风湿热的男孩，其首发症状为反复出现的腹痛和颈部疼痛，随后发展为活动性心脏炎，从而确诊为急性风湿热。对于某些急性风湿热病例，要做出早期诊断并启动适当治疗，必须高度怀疑并了解急性风湿热较不常见的表现。
