I Ketut Alit Utamayasa, - and Ajeng Indriastri, - and Taufiq Hidayat, - and Rendi Aji Prihaningtyas, - and Mahrus A. Rahman, - (2021) Clinical profile of children with rheumatic heart disease in Indonesia. Sri Lanka Journal of Child Health, 50 (2). pp. 200-202. ISSN 2386110X

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Abstract

Introduction: In developing countries, rheumatic heart disease (RHD) affects 19 per 100.000 children. There are few systematically collected data on children with RHD in developing countries. Objective: To describe the clinical profile of children with RHD in Indonesia. Method: A cross-sectional study was conducted on children diagnosed with RHD who came to the paediatric cardiology outpatient clinic of Dr. Soetomo General Hospital from June 2014 to June 2015. Demographic data and clinical characteristics of RHD were collected. Results: Fifty children were diagnosed with RHD during the study period. The median age was 10.9 years. Female to male ratio was 1.2:1. At the time of initial diagnosis, 28% children had acute rheumatic fever (ARF) and 72% had RHD. Major clinical manifestations were carditis (86%), polyarthritis migrans (10%) and chorea (2%). Minor clinical manifestations were fever (36%), arthralgia (8%). positive C-reactive protein (60%), elevated erythrocyte sedimentation rate (68%) and prolonged PR interval on electrocardiogram (2%). Raised anti-streptolysin O titre was present in 44%. The common valve lesions were MR (86%), tricuspid regurgitation (42%) and aortic regurgitation (38%). Conclusions: Carditis was the commonest major clinical manifestation in past ARF and MR the commonest valve lesion in children with RHD.

Item Type:	Article
Uncontrolled Keywords:	Acute rheumatic fever, Rheumatic heart disease
Subjects:	R Medicine > R Medicine (General) R Medicine > RJ Pediatrics
Divisions:	01. Fakultas Kedokteran > Ilmu Kesehatan Anak (Sub Spesialis)
Creators:	Creators NIM I Ketut Alit Utamayasa, - NIDN8868800016 Ajeng Indriastri, - UNSPECIFIED Taufiq Hidayat, - NIDN0011118111 Rendi Aji Prihaningtyas, - UNSPECIFIED Mahrus A. Rahman, - NIDN8819020016
Depositing User:	arys fk
Date Deposited:	02 Aug 2021 03:25
Last Modified:	17 Jan 2023 10:23
URI:	http://repository.unair.ac.id/id/eprint/109004
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