Akut Romatizmal Ateşli Hastaların Değerlendirilmesi: 13 Yıllık Tek Merkez Deneyimi

Yıl 2025, Cilt: 15 Sayı: 1, 1 - 7

Fatma İssi Irlayıcı , Embiya Dilber

Öz

Amaç: Türkiye'de akut romatizmal ateşin sıklığına ilişkin veriler sınırlıdır. Çalışmanın amacı Doğu Karadeniz Bölgesi'nde akut romatizmal ateş tanısıyla takip edilen hastaların demografik ve klinik özelliklerinin retrospektif olarak değerlendirilmesidir.
Gereç ve Yöntemler: Kliniğimizde Ocak 2005 ile Aralık 2017 tarihleri arasında akut romatizmal ateş tanısı alan hastaların demografik, klinik ve laboratuvar özellikleri arşiv kayıtlarından değerlendirildi.
Bulgular: Çalışmaya yaş ortalaması 11±3,52 yıl (26 ay-17 yıl), kadın/erkek oranı 1,38 olan 175 hasta dahil edildi. Hastalar en sık Şubat, Mayıs ve Ağustos aylarında başvurdu. En sık görülen majör bulgu kardit (%80) iken, artrit %51,4, kore ise %16 oranında görüldü. Sadece bir hastada eritema marjinatum mevcuttu. Kardit hastalarında en sık izole mitral kapak tutulumu (%54,3) görülürken, eş zamanlı mitral ve aort kapak tutulumu hastaların %30,7'sinde, izole aort kapak tutulumu ise %10 oranında saptandı. Mitral tutulumu olan üç (%2,1) hastada triküspit yetersizliği görüldü. Sekonder profilaksi ile uyumsuz olan yedi hastanın dördünde (%57,1) nüks tespit edildi. Klinik takip sırasında iki hastaya mitral ve aort kapak değişimi uygulandı. Hastalarda mortalite görülmedi.
Sonuç: Türkiye'de son yıllarda sosyo-ekonomik koşullardaki iyileşmeye rağmen akut romatizmal ateş, Doğu Karadeniz Bölgesi için önemli bir sağlık sorunu olmaya devam etmektedir.

Anahtar Kelimeler

Akut romatizmal ateş, Kardit, Çocuk, Romatizmal kalp hastalığı

Evaluation of Patients with Acute Rheumatic Fever: 13-Year Experience of a Single Center

Öz

Background/Aims: Data on the frequency of acute rheumatic fever in Turkey is limited. The study aims to evaluate patients' demographic and clinical characteristics retrospectively followed up with a diagnosis of acute rheumatic fever in the Eastern Black Sea Region.
Materials and Methods: Demographic, clinical and laboratory characteristics of patients diagnosed with acute rheumatic fever in our clinic between January 2005 and December 2017 were evaluated from archival records.
Results: Included in the study were 175 patients with a mean age of 11±3.52 years (26 months–17 years), with a female/male ratio of 1.38. Patients are most frequently presented in February, May and August. Carditis was the most common (80%) major finding, while arthritis was seen in 51.4% and chorea in 16%. Erythema marginatum was present in only one patient. While isolated mitral valve involvement (54.3%) was most common in the patients with carditis, simultaneous mitral and aortic valve involvement was found in 30.7% of the patients, and isolated aortic valve involvement in 10%. Tricuspid regurgitation was seen in three (2.1%) patients with mitral involvement. Recurrence was detected in four (57.1%) of the seven patients who were incompatible with secondary prophylaxis. During clinical follow-up, two patients underwent mitral and aortic valve replacement. No mortality was observed in the patients.
Conclusion: Despite improving socio-economic conditions in Turkiye in recent years, acute rheumatic fever remains a significant health problem for the Eastern Black Sea Region.

Anahtar Kelimeler

Acute rheumatic fever, Carditis, Children, Rheumatic heart disease

Kaynakça

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