Okoroma E O, Ihenacho I N, Anyanwu C H
Am J Dis Child. 1981 Mar;135(3):236-8. doi: 10.1001/archpedi.1981.02130270028010.
Sixty-six Nigerian children with rheumatic fever were studied between 1975 and 1979. Equal numbers of patients had acute and chronic disease. Carditis was the most common major manifestation, being present in 98% of the cases, whereas subcutaneous nodules, erythema marginatum, and chorea were relatively rare. Twelve patients died within two years of the disease's appearance and eight have become unavailable for follow-up. Our findings resemble those from other tropical countries, in contrast with results from temperate countries: rheumatic fever manifests differently and rheumatic carditis runs a more fulminant course in a person from a tropical area.
1975年至1979年间，对66名患有风湿热的尼日利亚儿童进行了研究。患有急性和慢性疾病的患者人数相等。心脏炎是最常见的主要表现，98%的病例都有心脏炎，而皮下结节、边缘性红斑和舞蹈病相对较少见。12名患者在疾病出现后的两年内死亡，8名患者失去了随访机会。我们的研究结果与其他热带国家的结果相似，与温带国家的结果形成对比：风湿热的表现不同，热带地区的人患风湿性心脏炎的病程更为迅猛。
