Chun L T, Reddy D V, Yamamoto L G
Pediatrics. 1987 Apr;79(4):549-52.
Case records of hospitalized children (age 4 to 18 years) with acute rheumatic fever on Oahu, HI, were reviewed for the 4-year period from Oct 1, 1980, to Sept 30, 1984. Ninety-eight cases met the modified Jones criteria. The overall incidence of rheumatic fever was 13.4 hospitalized children per 100,000 children per year and that for recurrent attacks was 2.5. Of the 98 with rheumatic fever, 73 had polyarthritis, 33 had carditis, and ten had chorea. Polynesian/part-Polynesian children accounted for 76 of the 98 cases. The incidence of rheumatic fever in Hawaiian/part-Hawaiian was 18.0 and for Samoan children was 206 hospitalized children per 100,000 per year. The relative risks were 7.7 and 88 times that of the white children, respectively. Rheumatic fever continues to cause significant morbidity in children in Hawaii, especially in Polynesian children.
对1980年10月1日至1984年9月30日这4年期间夏威夷瓦胡岛4至18岁急性风湿热住院儿童的病历进行了回顾。98例符合修正的琼斯标准。风湿热的总体发病率为每年每10万名儿童中有13.4名住院儿童，复发率为2.5。在98例风湿热患儿中，73例有关节炎，33例有心脏炎，10例有舞蹈病。98例病例中，76例为波利尼西亚/部分波利尼西亚儿童。夏威夷/部分夏威夷儿童风湿热发病率为每10万人中有18.0例，萨摩亚儿童为每年每10万人中有206例住院儿童。相对风险分别是白人儿童的7.7倍和88倍。风湿热继续在夏威夷儿童中导致显著发病，尤其是在波利尼西亚儿童中。
