Tolaymat A, Goudarzi T, Soler G P, Miller R H, Ayoub E M
South Med J. 1984 Jul;77(7):819-23. doi: 10.1097/00007611-198407000-00007.
Because of the declining incidence and severity of acute rheumatic fever reported in the United States and Europe, we reviewed our clinical experiences with 128 cases of acute rheumatic fever. No decline in the rate of admissions for patients with rheumatic fever was found in our hospital. The most common major manifestation of rheumatic fever in our patients was carditis, followed by arthritis. Chorea, erythema marginatum, and subcutaneous nodules were rare. Carditis was severe in 26% of the patients, moderate in 27%, and mild in 47%. A high percentage of our patients had residual cardiac lesions, and the mortality was higher than what has been reported in the rest of the country. We conclude that primary prevention of rheumatic fever in areas like ours should be continued.
由于美国和欧洲报告的急性风湿热发病率和严重程度呈下降趋势，我们回顾了128例急性风湿热患者的临床经验。我们医院风湿热患者的入院率并未下降。我们的患者中风湿热最常见的主要表现是心脏炎，其次是关节炎。舞蹈病、边缘性红斑和皮下结节很少见。26%的患者心脏炎严重，27%为中度，47%为轻度。我们的患者中有很大比例存在心脏残留病变，死亡率高于该国其他地区报告的水平。我们得出结论，在我们这样的地区，应继续进行风湿热的一级预防。
