SOCIOMEDICAL PATTERNOFRHEUMATIC FEVERINSCHOOL CHILDRENINBENHA
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Rheumatic fever (RF) is a catastrophic illness in many parts of the world particularly in developing nations, so this cross-sectional study was designed to study the sodomedical pattern of. rheumatic fever in school children in Benha. The target population were 189 Child with RF aged 6-16 years, (89.4%) ofcases were below 15 years old, 57.1% were below 10 years.Male: Female ratio was estimated to be 1:1.39. Poorsocioeconomic condition, living in rural areas, repeated sorethroatfavour the occurence offirst attack ofrheumaticfever as well as its recurrence. The occwence of valve lesions in response to first attack ofRFor recurrence was high (93.7%, 88.8%) respectively. None ofcases which exhibit recur rence were under prophylaxis of benzathin penicillin. The most common valve lesions caused by 1st attack RF were mitral regurge and mitral stenosis, in apercentage of(50.3%, 16.6%) respectively, whilepulmonary and bicuspid valveswere not affected in this group ofpatients. Combined lesions were (20.1%). The cardiovascularphysical examination showed a sensitivity of(69.14%) & a specificity of (100%)for the diagnosis ofrhumatic valvular heart disease compared with Doppler echocardiography. Hence, it is recommended to design a long termplanefor Improving the socioeconomic conditions aswell as a short termplane to improve the util ization ofspecialized clinics integrated with theJunctions ofschool insu rance. Also physical examination should be encouraged rather than the routine application of echocardiography.