Evaluation of children with acute rheumatic fever: A single-center experience

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dc.authorid0000-0003-1587-9559en_US
dc.authorid0000-0001-8780-8122en_US
dc.contributor.authorGüneş, Ahmet
dc.contributor.authorGül, Özlem
dc.contributor.authorAkın, Alper
dc.contributor.authorTüre, Mehmet
dc.contributor.authorBalık, Hasan
dc.contributor.authorBilici, Meki
dc.date.accessioned2022-08-26T07:19:03Z
dc.date.available2022-08-26T07:19:03Z
dc.date.issued2022en_US
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Çocuk Sağlığı ve Hastalıkları Ana Bilim Dalıen_US
dc.description.abstractObjective: The epidemiological characteristics, risk factors, complications, recurrence status, clinical and laboratory features, and treatment methods of the patients who admitted to our Pediatric Cardiology Outpatient Clinic with a pre-diagnosis of acute rheumatic fever (ARF) were evaluated. Materials and Methods: The data of 166 patients who admitted with a pre-diagnosis of ARF and were diagnosed with ARF, and the data of 51 patients who were not diagnosed with ARF, were retrospectively analyzed. Results: The patients with ARF were between the ages of 5 and 18. Most of the patients with ARF attack admitted in December (15.6%), January (13.8%), and February (13.2%). The most common complaints of the patients diagnosed with ARF were isolated joint pain and/or swelling, at 50.6%. While 91.5% of the patients were diagnosed for the first time, 8.5% had ARF recurrence. It was seen that the most common major criterion was carditis (94.6%). The severity of valve regurgitation and the rates of monoarthritis were significantly higher in patients with recurrence (P < .05). Non-compliance with prophylaxis was observed in 10 (71.4%) of 14 patients with recurrence, and in 43 (28.2%) of 152 patients without recurrence. Anti-streptolysin O was lower (P = .021) and alanine transaminase (ALT) was higher (P = .019) in the recurrence group. Conclusion: Our study showed that in patients with a pre-diagnosis of ARF, a differential diagnosis should be made with other diseases. Especially in patients with joint complaints as the only major symptom, a differential diagnosis should be made. ARF recurrence is associated with non-compliance with prophylaxis, and both the severity of valve regurgitation and monoarthritis rates are higher in patients who develop recurrence. Alanine aminotransferase is significantly higher in patients with ARF recurrence.en_US
dc.identifier.citationGüneş, A., Gül, Ö., Akın, A., Türe, M., Balık, H. ve Bilici, M. (2022). Evaluation of children with acute rheumatic fever: A single-center experience. Turkish Archives of Pediatrics, 57(1), 26-31.en_US
dc.identifier.doi10.5152/TurkArchPediatr.2021.21064
dc.identifier.endpage31en_US
dc.identifier.issn2757-6256
dc.identifier.issue1en_US
dc.identifier.pmid35110075
dc.identifier.scopus2-s2.0-85124997824
dc.identifier.scopusqualityQ3
dc.identifier.startpage26en_US
dc.identifier.trdizinid529132
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/529132
dc.identifier.urihttps://hdl.handle.net/11468/10258
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/529132
dc.identifier.volume57en_US
dc.identifier.wosWOS:000744060100005
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.indekslendigikaynakTR-Dizin
dc.institutionauthorGüneş, Ahmet
dc.institutionauthorAkın, Alper
dc.institutionauthorTüre, Mehmet
dc.institutionauthorBalık, Hasan
dc.institutionauthorBilici, Meki
dc.language.isoenen_US
dc.publisherTurkish Pediatric Associationen_US
dc.relation.ispartofTurkish Archives of Pediatrics
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAcute rheumatic feveren_US
dc.subjectCarditisen_US
dc.subjectArthritisen_US
dc.subjectRecinceen_US
dc.titleEvaluation of children with acute rheumatic fever: A single-center experienceen_US
dc.titleEvaluation of children with acute rheumatic fever: A single-center experience
dc.typeArticleen_US

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