Rhumatisme articulaire aigu

Autor: Xavier Jouven, Daniel Sidi, Eloi Marijon, Matthias Lachaud, Beatriz Ferreira, Mariana Mirabel
Rok vydání: 2012
Předmět:
Zdroj: médecine/sciences. 28:633-638
ISSN: 1958-5381
0767-0974
DOI: 10.1051/medsci/2012286017
Popis: Acute rheumatic fever develops after an inadequate immune response to throat streptococcal infection that induces the production of antibodies reacting against cardiac endothelial cells. Valve damage may lead to irreversible cardiac valve sequela (rheumatic heart disease) with further evolution towards severe valve dysfunction and heart failure. The disease has been almost eradicated in Western countries with the development of living conditions and prevention policies, including primary prevention (treatment of sore throats) and secondary prevention (long term administration of antibiotics). However, rheumatic heart disease remains a major health problem in developing countries. Recently, echocardiography identified children with mild features of the disease, thereby allowing early treatment.
Databáze: OpenAIRE