OBJECTIVES: To determine and to evaluate @entity340 , in particular subclinical, as confirmed by colored Doppler echocardiography (CDE) during an initial attack of @entity4789 ( @entity4789 ). Means of diagnosis and therapeutic implications. MATERIALS AND METHODS: Over a 7-year period, from January 1994 to December 2000, 49 @entity1 (27 females and 22 males), with a mean age of 9.2 years (range 5-14 years), who presented with a first attack of @entity4789 , were diagnosed on the basis of clinical data (history, physical findings, specific laboratory data, EKG, and CDE) to determine the major and minor criteria of @entity4789 . All @entity1 were reinvestigated and controlled clinically and by echocardiography two weeks to three months after the first investigation. RESULTS: Reported clinical major criteria were: @entity625 , 46 cases (94%); @entity2401 , 27 cases (55%); @entity5105 , 3 cases (6%); subcutaneous nodules, 3 cases (6%) and @entity4790 , 3 cases (6%). @entity3641 were identified in 37 cases with cardiac involvement (75% of @entity1 ), 10 of them had subclinical evidence of @entity340 : 6 cases with mild to moderate @entity339 ( @entity339 ), 2 cases with moderate @entity337 ( @entity337 ), and 2 cases had both mild to moderate @entity339 and moderate @entity337 . All @entity1 with subclinical disease and evidence of inflammatory process (7 cases) were treated by @entity8834 . Repeated echocardiography for control showed disappearance of @entity340 in 8 @entity1 with subclinical valvulopathy, and aggravation was observed in 2 other @entity1 . CONCLUSION: CDE is recommended in @entity1 with suspicion of @entity4789 , even in normal cardiac auscultation in order to detect an acute cardiac involvement leading to an early diagnosis. The confirmation of subclinical @entity340 should be considered as major criteria for @entity4789 . Isolated and subclinical mitral and/or aortic regurgitations, with evidence of inflammatory process, should receive corticosteroids and be followed-up regularly, clinically and non-invasively by CDE.

[Subclinical XXXX during an initial attack of @entity4789 : contribution of colored Doppler echocardiography and therapeutic advantages].

@entity4789 :: ('MESH:D012213', 'Disease') :: ['ARF', 'acute rheumatic fever'] @entity1 :: ('9606', 'Species') :: ['patients'] @entity8834 :: ('MESH:D012459', 'Chemical') :: ['salicylates'] @entity339 :: ('MESH:D008944', 'Disease') :: ['MR', 'mitral regurgitation'] @entity625 :: ('MESH:D001168', 'Disease') :: ['Arthritis'] @entity4790 :: ('MESH:D002819', 'Disease') :: ['chorea'] @entity3641 :: ('MESH:D003117', 'Disease') :: ['CDE abnormalities'] @entity5105 :: ('MESH:D004890', 'Disease') :: ['erythema marginatum'] @entity337 :: ('MESH:D001022', 'Disease') :: ['AR', 'aortic regurgitation'] @entity340 :: ('MESH:D006349', 'Disease') :: ['valvular involvement', 'valvular insufficiency', 'valvular disease'] @entity2401 :: ('MESH:D009205', 'Disease') :: ['carditis']
@entity2401 :: (MESH:D009205,Disease) :: ['carditis']
