ACUTE RHEUMATIC FEVER IMPORTANCE OF AGE

1. RHEUMATIC FEVER – IMPORTANCE
OF AGE
FIRST EPISODE OF ARF OCCURS BETWEEN THE AGE 5—14 YEARS
RARELY AFTER THE AGE 30 YRS
RHEUMATIC HEART DIESASE USUALLY PRESENTS AT HE AGE 25 – 40 YRS
IN INDIA IT CAN PRESENT IN FIRST DECADE
FORMULA OF 5,10,20,40
SECONDARY PROPHYLAXIS OF RHEUMATIC FEVER
CATEGORY OF PATIENT DURATION MINIMUM AGE
ARF NO CARDITIS 5 YRS UP TO 21 YRS
ARF + CARDITIS - NO RHD 10 YRS “
ARF + RHD
CLINICAL/ ECHO 10 YRS UP TO AGE 40 YRS