最近审阅: 24 十月 2020
最近更新: 07 七月 2020

小结

定义

病史和体格检查

其他诊断因素

  • 近期咽痛或猩红热
  • 胸痛
  • 呼吸短促
  • 心悸
  • 心脏杂音
  • 心包摩擦音
  • 心力衰竭的体征
  • 关节肿胀
  • 烦躁不安
  • 笨拙
  • 情绪不稳和人格改变
  • 抽动性、不协调的舞蹈样运动
  • 不能保持舌部伸出
  • 挤奶工手法
  • 匙样征
  • 旋前肌征
  • 环形红斑
  • 皮下结节
  • 妊娠或服用口服避孕药

危险因素

  • 贫穷
  • 居住拥挤
  • 风湿热家族史
  • D8/17 B 细胞抗原阳性
  • 人类白细胞抗原 (HLA) 相关性
  • 遗传易感性
  • 土著居民;澳大利亚、亚洲和太平洋岛的土著居民

诊断性检查

首要检查

  • 红细胞沉降率 (ESR)
  • C 反应蛋白 (CRP)
  • 白细胞计数
  • 血液培养
  • 心电图
  • 胸部 X 线检查
  • 超声心动图
  • 咽培养
  • A 族链球菌抗原快速检测
  • 抗链球菌血清学检查
更多 首要检查

治疗流程

撰稿人

Senior Lecturer in Paediatrics

University of Auckland

Paediatric Infectious Diseases Specialist

Starship Children's Hospital and Middlemore Hospital

Auckland

New Zealand

利益声明

RW declares that she has no competing interests; she is an active researcher and clinician in acute rheumatic fever/rheumatic heart disease and is a co-investigator on a (non-industry) grant funded by the Health Research Council of New Zealand and gives educational talks and has prepared manuscripts on rheumatic fever solely in capacity as a University of Auckland academic and Paediatric Infectious Diseases Specialist.

Dr Rachel Webb would like to gratefully acknowledge Dr Andrew C. Steer and Dr Jonathan Carapetis, previous contributors to this topic.

利益声明

ACS and JC declare that they have no competing interests.

同行评议者展开全部内容

Professor of Pediatrics

Division of Pediatric Cardiology

Faculty of Medicine

University of Alexandria

Cardiologist

El Shatby Children's Hospital

Alexandria

Egypt

利益声明

SZ declares that she has no competing interests.

Paediatric Cardiologist/Interventional Cardiologist

Paediatric and Congenital Cardiac Services

Green Lane Clinical Services

Starship Children's Hospital

Auckland

New Zealand

利益声明

NW declares that he has no competing interests.

Assistant Professor of Pediatrics

Medical University of South Carolina

Charleston

SC

利益声明

AS declares that she has no competing interests.

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