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ACUTE RHEUMATIC

FEVER

SRI HASTUTI
Definition

 Acute rheumatic fever (ARF) is a nonsuppurative sequela that


occurs two to four weeks following group A Streptococcus (GAS)
pharyngitis and may consist of arthritis, carditis, chorea, erythema
marginatum, and subcutaneous nodules. Damage to cardiac valves
may be chronic and progressive, resulting in cardiac
decompensation.
 Rheumatic fever and rheumatic heart disease are diseases of poverty and
economic disadvantage
  estimated to affect over 33 million 
 pproximately 470,000 new cases of ARF and 275,000 deaths attributable to
rheumatic heart disease each year
 incidence of ARF is 19 per 100,000 school-aged children worldwide 
Pathophysiology
treatment

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