Which type of inflammation is most characteristic of acute rheumatic fever?
Rheumatic fever (RF) is an inflammatory disease that can involve the heart, joints, skin, and brain. The disease typically develops two to four weeks after a streptococcal throat infection….
| Rheumatic fever | |
|---|---|
| Specialty | Cardiology |
| Symptoms | Fever, multiple painful joints, involuntary muscle movements, erythema marginatum |
What is the life expectancy of someone with rheumatic heart disease?
RHD is a disease of the vulnerable and impoverished worldwide. Reduced life expectancy following valve surgery 30-40 years with survival time poorest within 30 days of surgery and at 5 years. Noonan et al 2012: renewed emphasis on treatment of sore throat in high-risk groups.
Who is more prone to rheumatic heart disease?
Rheumatic heart disease disproportionately affects girls and women, whose risk of developing rheumatic heart disease is two times higher than in men and boys. Rheumatic heart disease is the leading cause of maternal cardiac complications in pregnancy.
Does rheumatic fever lead to arthritis?
The nodules rarely last for more than a month. However, the associated arthritis may last for some time. Heart inflammation (carditis), chorea and arthritis are complications of rheumatic fever that can occur singly or in combination.
How does rheumatic fever affect the brain?
In many cases of patients who had rheumatic fever–at times undiagnosed–there is a chronic involvement of the brain as a result of disseminated recurrent obliterating arteritis or emboli in the small blood vessels, especially in the brain membranes or the cortex.
What organs of the body does rheumatic fever affect?
Rheumatic fever (acute rheumatic fever) is a disease that can affect the heart, joints, brain, and skin. Rheumatic fever can develop if strep throat and scarlet fever infections are not treated properly.
What does Marginatum mean?
Marginatum, a Latin adjective meaning having a distinct margin (marginated), may refer to: Erythema marginatum, pink rings on the trunk and inner surfaces of the limbs which come and go for as long as several months.
How common is erythema marginatum in rheumatic fever?
Erythema marginatum is characteristic of rheumatic fever and occurs in less than 5% of patients. This rash is nonpruritic and macular with a serpiginous erythematous border (Fig. 44-5 ).
What is erythema marginatum (erythema annulare)?
Erythema marginatum, which is also referred to as erythema annulare because of its ringlike appearance, is an infrequent RF manifestation that affects the limbs and trunk but spares the face.
Does erythema marginatum go away on its own?
The lesions are not itchy or painful, and sometimes go unnoticed by the patient. The lesions can fade and reappear within hours, reappearing in hot conditions. Erythema marginatum may persist intermittently for weeks to months, even after successful treatment of ARF.
What does erythema marginatum rash look like?
Erythema marginatum is a serpiginous, blanching, and nonindurated rash. It begins as an area of erythema that spreads with central clearing. It will blanch to pressure and the leading edges will be pinkish or salmon in color. The rash may be difficult to observe in any but lightly pigmented individuals.