Corea, artrite, eritema marginato: malattia reumatica e diagnosi differenziali

Author:

Alberio Antonino Maria Quintilio1,Pieroni Filippo1,Bini Giulia1,Bonucelli Alice2,Orsini Alessandro2,Peroni Diego3,Consolini Rita4

Affiliation:

1. Scuola di Specializzazione in Pediatria, Università di Pisa

2. Sezione di Neurologia Pediatrica, Università di Pisa

3. Sezione di Pediatria, Università di Pisa

4. 4Sezione di Immunologia Clinica e di Laboratorio, UO di Pediatria, AOUP, Università di Pisa

Abstract

Acute rheumatic fever, Rheumatic carditis, Sydenham’s chorea, Erythema marginatum, Arthritis, Differential diagnosis The revision of the Jones criteria by the American Heart Association allowed the identification and diagnosis of a greater number of cases of Rheumatic Disease (RD); however, the higher incidence of RD is associated with "pathomorphic" phenotypic pictures, making the diagnosis more difficult. Chorea, carditis, arthritis, marginatum erythema are the major criteria for the diagnosis of RD and can represent its clinical onset, but likewise, due to the variety of their associations, they open a range of different differential diagnoses. Through the critical reasoning applied to some clinical cases, these major “criteria” of RD have been discussed to reduce the difficulties of the differential diagnosis.

Publisher

Medico e Bambino

Subject

Pediatrics, Perinatology, and Child Health

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