Abstract
Acute rheumatic fever (ARF) is rare in young people. A group of 28 patients is described who were hospitalized during the years 1960–1984. Patients were divided into two groups: children who were admitted between 1960 and 1966 and those admitted between 1966 and 1984. The annual incidence of ARF declined from 1.17 to 0.44 cases per 10,000 population at risk. The incidence of arthritis declined in parallel to the decrease in number of children presenting with ARF, whereas the incidence of carditis remained the same.
Similar content being viewed by others
Abbreviations
- ARF:
-
acute rheumatic fever
- RF:
-
rheumatic fever
References
Annegers JF, Pillman NL, Weidman WH, Kurlad LT (1982) Rheumatic fever in Rochester, Minnesota, 1935–1978. Mayo Clin Proc 57:753–757
Bisno AL, Land MA (1985) Incidence of acute rheumatic fever in Memphis and Shelby county, Tennessee, 1977–1981. Ross Conf 5787:13–24
Bland EF (1960) Declined severity of rheumatic fever. A comparative study of the past four decades. N Engl J Med 262:597–599
Caddell JL, Warley A, Connor DH, D'Arbela RG, Billinghurst JR (1966) Acquired heart disease in Ugandan children. Br Heart J 28:759–765
Central Bureau of Statistics (1983) Statistical Abstracts of Israel, 34
Central Bureau of Statistics (1985) Statistical Abstract of Israel, 36
Denny FW (1984) In: Management of pharyngitis in an era of declining rheumatic fever. Report of the Eighty-Sixth Ross Conference on Pediatric Research. Ross Conf 5787, p 22
Editorial (1985) Decline in rheumatic fever. Lancet I:647–648
Land MA, Bisno AL (1983) Acute rheumatic fever. A vanishing disease in Suburbia. JAMA 249:895–898
Markowitz M (1985) The decline of rheumatic fever; role of medical intervention. J Pediatr 106:545–550
Markowitz M, Gordis L (1972) Rheumatic fever. Saunders, Philadephia
Mayer FE, Doyle EF, Herrera L, Brownell KD (1963) Declining severity of first attack of rheumatic fever. Am J Dis Child 105:146–152
Rosenthal A, Czoniczer G, Massell BF (1968) Rheumatic fever under 3 years of age. A report of 10 cases. Pediatrics 41:612–619
Sievers J, Hall P (1971) Incidence of acute rheumatic fever. Br Heart J 33:833–836
Stollerman GH (1975) Rheumatic fever and streptoccocal infection. Grume and Stratton, New York
Stollerman GH (1983) Nobel strategers for the control of rheumatic fever. JAMA 249:931
Stollerman GH, Markowitz W, Taranta A, Wannamaker LW, Whittemore R (1965) Jones criteria (revised) for guidance in diagnosis of rheumatic fever. Circulation 32:664–668
Woo KS, Kong SM, Wai KH (1983) The changing prevalence and pattern of acute rheumatic fever and rheumatic heart disease in Hong Kong (1968–1978). Aust NZ J Med 13:151–156
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Eshel, G., Barr, J., Azizi, E. et al. Acute rheumatic fever in the young: changing prevalence and pattern. Eur J Pediatr 148, 208–210 (1988). https://doi.org/10.1007/BF00441404
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00441404