Pediatric Cardiology

, Volume 14, Issue 2, pp 89–92 | Cite as

Acute rheumatic fever in Saudi Arabia: Mild pattern of initial attack

  • Youssef A. Al-Eissa
  • Fahad A. Al-Zamil
  • Fadel A. Al Fadley
  • Abdullah S. Al Herbish
  • Saleh M. Al-Mofada
  • Abdullah O. Al-Omair
Original Articles


Fifty-one children with the initial attack of acute rheumatic fever (ARF) were studied prospectively to verify the sociodemographic and clinical profile and to compare results with those from other countries. Most children belonged to large families who lived in an urban setting with ready access to medical care. Unlike reports from many developing countries, the clinical manifestations in this study paralleled data from the West and included arthritis in 76% of the cases, carditis in 43%, and chorea in 8%. Among the 22 cases with carditis, 18 had mitral regurgitation, three developed combined mitral and aortic regurgitation, and one had aortic regurgitation. This study demonstrates the mild nature of ARF in Saudi Arabia and supports the concept that climate and geography appear to bear little relationship to the incidence and severity of ARF.

Key Words

Rheumatic fever Arthritis Chorea Mitral valve insufficiency Aortic valve insufficiency Echocardiography 


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Copyright information

© Springer-Verlag New York Inc. 1993

Authors and Affiliations

  • Youssef A. Al-Eissa
    • 1
  • Fahad A. Al-Zamil
    • 1
  • Fadel A. Al Fadley
    • 1
  • Abdullah S. Al Herbish
    • 1
  • Saleh M. Al-Mofada
    • 1
  • Abdullah O. Al-Omair
    • 1
  1. 1.Department of Pediatrics (39), College of MedicineKing Saud UniversityRiyadhSaudi Arabia

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