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Clinical Observation on Rheumatic Fever in Children

Journal of the Korean Pediatric Society 1976;19(7):506-511.
Published online July 31, 1976.
Clinical Observation on Rheumatic Fever in Children
Kun Whe Kim, Ja Hoon Koo
Deparment of Pediatrics, Kyungpook National University,School of Medicine, Taegu Korean
小兒 류마치스熱의 臨床的 觀察
金建會, 具滋薰
慶北大學校 醫科大學 小兒科學敎室
Abstract
We observed 73 patients of rheumatic fever admitted to the Dept, of Ped” Kyungpook National University Hospital from Jan. 1966 to Dec. 1974. The results obtained were as follows: 1.As far as age distribution is concerned, majority of the patients were between 6 to 15(89. 0%) and the highest incidence was on the age group 10~ 12(36. 9%) 2.Male to female sex ratio was 1 : 0.82. 3. Year distribution revieled very little significant difference. 4.Rheumatic fever more common in winter and fall than in summer. 5.Major manifestation were carditis(69.9%), polyarthritis (50.7%), choreaC2. 7%), erythema marginatum (4.1%), and Subcutaneous nodule (4.1%) while minor ones were fever (67.1%) and arthralgia (71.2%) etc. 6.In laboratory findings, leukocytosis (>10, 000/mm3) were in 47. 9% and anemia 10. 0gm%) in 38.4%. In most cases, ESR(86.3%) and ASO titer (81.4%) were elevated significantly. 7.Tachycardia was present in 51. 7%. Prolongation of P-R interval was seen in 40. 0% and prolongation of Q-T interval was in 25 % on EKG findings.


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