Majeed H A, Khan N, Dabbagh M, Najdi K, Khateeb N
Ann Trop Paediatr. 1981 Mar;1(1):13-20. doi: 10.1080/02724936.1981.11748053.
A prospective clinical study is reported of the initial attack of acute rheumatic fever in 210 children seen in Kuwait over a period of four years. The main presenting feature was pain in the joints, caused by arthritis in 79% of our patients and by arthralgia in 15%. Five per cent presented with chorea alone and 1% with congestive heart failure alone. Carditis was detected in 46.2%, cardiomegaly in 10%, pericarditis in 1.4% and congestive heart failure in 4.8%. The incidence of chorea was 7.6%, of erythema marginatum 1% and of subcutaneous nodules 0.5%. The mortality rate was 0.5%. Data from this study reflect the mild nature of acute rheumatic fever in Kuwait, in contrast to the aggressive nature of the disease described from neighbouring and developing countries.
本文报道了一项前瞻性临床研究，该研究针对科威特四年内收治的210例急性风湿热初发患儿展开。主要临床表现为关节疼痛，其中79%的患儿由关节炎引起，15%由关节痛引起。5%的患儿仅表现为舞蹈病，1%的患儿仅表现为充血性心力衰竭。46.2%的患儿检测出心脏炎，10%有心脏扩大，1.4%有心肌炎，4.8%有充血性心力衰竭。舞蹈病发病率为7.6%，边缘性红斑为1%，皮下结节为0.5%。死亡率为0.5%。该研究数据反映出科威特急性风湿热病情较轻，这与邻国及发展中国家所描述的该病的严重情况形成对比。
