Adult-onset acute rheumatic fever: Possible resurgence in southern Taiwan

Research output: Contribution to journalReview article

10 Citations (Scopus)

Abstract

Background: By the late 1980s, acute rheumatic fever (ARF) had become a rare disease in Taiwan. The low prevalence rate in this area is attributed to a better economic status, which has led to improved public health and adequate medical services. Objectives: The increasing number of patients with adult-onset ARF in the United States described in the literature prompted us to evaluate the cases diagnosed in our medical center. Methods: A retrospective chart review was performed for patients with arthritis from July 1988 to October 2004. To be included, patients had to meet revised Jones criteria. Results: Three adult patients with ARF have been diagnosed since June 2001, with no childhood ARF being diagnosed. All cases presented with migratory polyarthritis, whereas 1 had erythema marginatum and transient carditis. These patients responded well to treatment with antibiotics and nonsteroidal antiinflammatory drugs. Conclusions: Clinicians must provide careful assessment and treatment to patients presenting with acute pharyngitis. A possible resurgence of ARF can be eradicated by primary prevention of streptococcal pharyngitis.

Original languageEnglish
Pages (from-to)146-149
Number of pages4
JournalJournal of Clinical Rheumatology
Volume11
Issue number3
DOIs
Publication statusPublished - 2005 Jun 1

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Rheumatic Fever
Taiwan
Pharyngitis
Arthritis
Myocarditis
Primary Prevention
Erythema
Rare Diseases
Anti-Inflammatory Agents
Public Health
Economics
Anti-Bacterial Agents
Therapeutics
Pharmaceutical Preparations

All Science Journal Classification (ASJC) codes

  • Rheumatology

Cite this

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title = "Adult-onset acute rheumatic fever: Possible resurgence in southern Taiwan",
abstract = "Background: By the late 1980s, acute rheumatic fever (ARF) had become a rare disease in Taiwan. The low prevalence rate in this area is attributed to a better economic status, which has led to improved public health and adequate medical services. Objectives: The increasing number of patients with adult-onset ARF in the United States described in the literature prompted us to evaluate the cases diagnosed in our medical center. Methods: A retrospective chart review was performed for patients with arthritis from July 1988 to October 2004. To be included, patients had to meet revised Jones criteria. Results: Three adult patients with ARF have been diagnosed since June 2001, with no childhood ARF being diagnosed. All cases presented with migratory polyarthritis, whereas 1 had erythema marginatum and transient carditis. These patients responded well to treatment with antibiotics and nonsteroidal antiinflammatory drugs. Conclusions: Clinicians must provide careful assessment and treatment to patients presenting with acute pharyngitis. A possible resurgence of ARF can be eradicated by primary prevention of streptococcal pharyngitis.",
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Adult-onset acute rheumatic fever : Possible resurgence in southern Taiwan. / Wang, Chrong-Reen; Liu, Ching-Chuan; Li, Yi-Heng; Liu, Ming-Fei.

In: Journal of Clinical Rheumatology, Vol. 11, No. 3, 01.06.2005, p. 146-149.

Research output: Contribution to journalReview article

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AU - Li, Yi-Heng

AU - Liu, Ming-Fei

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