XXXX occurrence, patterns and clinical correlates in @entity1 aged less than five years.

@entity4789 @entity1 @entity6331 @entity339 @entity625 @entity4790 @entity120 @entity5105 @entity337 @entity2401 @entity158 @entity4794 @entity340 @entity221 @entity1002
BACKGROUND AND AIM OF THE STUDY: @entity4789 ( @entity4789 ) and chronic @entity6331 ( @entity6331 ) are common in developing countries. Two-thirds of @entity6331 @entity1 are school- @entity1 aged between 5 and 15 years. Pre-schoolers aged <5 years are not immune to @entity4789 however, and to date @entity6331 patterns in this very young age group have not been studied systematically. METHODS: Records of all @entity6331 @entity1 seen at the authors' institution between January 1999 and December 2000 were retrospectively reviewed. A special analysis was conducted among pre-school @entity1 aged <5 years. RESULTS: Thirty-eight (6.8%) of the @entity4789 / @entity6331 admissions were aged <5 years, and 28 of these @entity1 (20 males, 8 females) presented with acute @entity4789 . The mean age of acute @entity4789 diagnosis was 4 years. All @entity4789 / @entity6331 @entity1 aged <5 years were in normal sinus rhythm. Joint @entity158 and swelling (25 cases; characteristic @entity625 in six, monoarthritis in five) and @entity221 (24 cases) were the most frequent symptoms. @entity625 , @entity2401 and @entity4790 occurred in 75%, 50% and 4% respectively, with no instances of @entity5105 or subcutaneous nodules. Effort intolerance, chest discomfort and palpitations were reported by nine, five and three cases, respectively. @entity339 was the most common @entity340 in @entity4789 . The youngest case of confirmed acute @entity4789 was an 18-month-old male. The only @entity1 with @entity4794 in the present series was a 4-year-old @entity1 . None of the @entity1 required surgical intervention, and there were no deaths. CONCLUSION: @entity6331 is common in very young age groups of <5 years. Pre-schoolers account for a significant proportion of acute @entity4789 and chronic @entity6331 admissions among @entity1 . @entity339 is the most common cardiac manifestation, @entity340 is distinctly rare in this age group. @entity337 , @entity1002 and @entity120 may complicate the course of @entity4789 in these very young @entity1 .
