Navegando por Palavras-chave "chorea"

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    Características clínicas e demográficas de 193 pacientes com febre reumática
    (Sociedade Brasileira de Reumatologia, 2006-12-01) Terreri, Maria Teresa Ramos Ascensão [UNIFESP]; Caldas, Álvaro Manuel [UNIFESP]; Len, Claudio Arnaldo [UNIFESP]; Ultchak, Fabio [UNIFESP]; Hilário, Maria Odete Esteves [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVE: the aim of this study was to analyze the demographic and clinical characteristics of patients with acute rheumatic fever (ARF), followed between 1995 and 2005. METHODS: we retrospectively reviewed the medical records of 193 patients with ARF diagnosed according to the revised Jones criteria (1992). Only the patients that initiated the follow-up in the first two months of onset were included, in order to reduce the diagnostic mistake. Demographic, clinical and laboratorial data and echocardiographic abnormalities were considered. RESULTS: four out of 193 (2.1%) were younger than 5 years old. The most frequent clinical manifestation was arthritis (70.5%) followed by carditis (50.8%) and chorea (35.2%). Atypical arthritis occurred in 64 (33.2%) patients characterized by monoarthritis (10.9%), or involvement of unusual joints (59.4%), or duration longer than 6 weeks (18.8%), or poor response to salicylates (10.9%). Regarding the cardiac involvement we observed subclinical carditis in 19% of the patients. Clinical carditis presented most frequently as mitral involvement (regurgitation) (96.9%). Chorea was present in 35% of the patients. Regarding lab work, anemia (p=0.01), erythrocyte sedimentation rate > 100 mm (p= 0.04) and elevation of alpha1 acid glycoprotein (p=0.04) were statistically more frequent in patients with carditis compared to patients without this involvement. Fifteen percent of patients experienced recurrences. CONCLUSION: 1) rheumatic fever is still prevalent in our environment; 2) atypical arthritis is a common finding and must be taken into account in the ARF diagnosis; 3) subclinical carditis must be considered in our patients; 4) the frequency of Sydenham's chorea is higher than that described in the literature; 5) recurrences are frequent in our patients.
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    Chorea-ballism as a manifestation of decompensated type 2 diabetes mellitus
    (Lippincott Williams & Wilkins, 2007-03-01) Chang, Claudia Veiga; Felicio, Andre Carvalho; Godeiro, Clecio de Oliveira; Matsubara, Luiz Shiguero; Duarte, Daniela Rezende; Ferraz, Henrique Ballalai; Okoshi, Marina Politi; Universidade de São Paulo (USP); Universidade Federal de São Paulo (UNIFESP)
    Chorea and ballism are movement disorders that result from a variety of conditions. Hyperglycemia is an unusual recognized cause of these movement disorders. We report 3 cases of new-onset choreaballism induced by nonketotic hyperglycemia in elderly patients, highlighting that chorea may be the first manifestation of undiagnosed decompensated diabetes mellitus.
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    Coréia: análise clínica de 119 casos
    (Academia Brasileira de Neurologia - ABNEURO, 1996-09-01) Mendes, Maria Fernanda [UNIFESP]; Andrade, Luiz Augusto Franco de [UNIFESP]; Ferraz, Henrique Ballalai [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Chorea is a clinical syndrome characterized by abnormal involuntary arrhythmic movements, randomly distributed in time, affecting mainly the distal parts of the limbs. There are many diseases associated with chorea but the distribution of the etiologies vary too much in different parts of the world. We intended to study the etiologies of chorea in a Movement Disorders Unit of a university hospital-based outpatient clinic in Brazil. We studied the records of 119 patients with chorea based in the diagnostic criteria of the World Federation of Neurology. Sydenham's chorea (SC) was the most frequent cause of chorea (51.3%) of our sample. Other common causes were Huntington's chorea (18.5%) and chorea post-stroke (9.2%). SC is not commonly seen in developed countries nowadays but is not rare in Brazil. SC patients generally have the clinical manifestation of it in the first 20 years of age and girls are more affected than boys and this feature was observed in our sample. Based on our own experience and in the review of the literature we propose an etiological classification of chorea.