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Am J Psychiatry. 2000 Dec;157(12):2036-8.

The psychiatric symptoms of rheumatic fever.

Author information

1
Department of Psychiatry, Medical School, University of São Paulo, Brazil. mtmerc@mtecnetsp.com.br

Abstract

OBJECTIVE:

This study examined the frequency and age at onset of psychiatric disorders among children with rheumatic fever, Sydenham's chorea, or both and a comparison group.

METHOD:

Twenty children with rheumatic fever, 22 with Sydenham's chorea, and 20 comparison children were assessed by means of a semistructured interview and rating scales for tic disorders and obsessive-compulsive disorder.

RESULTS:

Obsessive-compulsive symptoms were more frequent in both the Sydenham's chorea and rheumatic fever groups than in the comparison group. The Sydenham's chorea group had a higher frequency of major depressive disorder, tic disorders, and attention deficit hyperactivity disorder (ADHD) than both the comparison and rheumatic fever groups. ADHD symptoms were associated with a higher risk of developing Sydenham's chorea.

CONCLUSIONS:

Both the rheumatic fever and Sydenham's chorea groups were associated with a higher risk of developing neuropsychiatric disorders than the comparison group. ADHD appears to be a risk factor for Sydenham's chorea in children with rheumatic fever.

PMID:
11097972
DOI:
10.1176/appi.ajp.157.12.2036
[Indexed for MEDLINE]

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