Modern rheumatic fever clinical features in children of Sakha (Yakut) republic

Abstract

Objective. To analyse incidence and clinical features of rheumatic fever (RF) in children of Sakha (Yakut) republic in 1974-2001 years. Material and methods. Sakha (Yakut) republic Ministry of Health Protection reports for 1999-2001 years. Case histories of 75 children admitted to pediatric cardiologic department of republic hospital №1. Results. In 2001 RF and chronic rheumatic heart diseases (CRHD) part among all rheumatic disease constituted 45,5%. RF incidence was 0,5 for 1000 children (in 1974 - 0,36 %o), acute (primary) RF - 0, 2 %o, CRHD - 0,8%c including 0,5%o with rheumatic heart disease (RHD). More than 60% of children admitted in 2001 were 4-10 years old. 65% of children were admitted in winter and early spring months. In 45,2% of admitted pts RF attack was connected with infection history (in 1974 - 76,2%). In primary as well as in repeat RF attack rheumatic process in nearly 80% of cases had signs of I or II activity degree. Primary RF attack ended with RHD formation in 25%, repeat - in 80% of children.