XXXX : a multicenter study in the state of S  o Paulo. Pediatric Committee--S  o Paulo Pediatric Rheumatology Society.

@entity4789 @entity1 @entity883 @entity627 @entity625 @entity4790 @entity5105 @entity9385 @entity299 @entity340 @entity2401
@entity4789 is still the most commonly seen @entity627 in Brazilian pediatric rheumatology clinics. It remains a significant health problem since subsequent cardiac sequelae represent one of the most important causes of chronic @entity299 in @entity1 . We reviewed the clinical manifestations of @entity4789 in 786 @entity1 followed at seven pediatric rheumatology clinics in the state of S  o Paulo, Brazil. All @entity1 were diagnosed according to revised Jones' criteria. Regarding major criteria, 396 (50.4%) @entity1 exhibited @entity2401 , 453 (57.6%) @entity625 , 274 (34.8%) @entity4790 , 13 (1.6%) @entity5105 , and 12 (1.5%) subcutaneous nodules. @entity340 documented by echocardiography in the absence of accompanying auscultatory findings were found in 144 (18.3%) @entity1 . Migratory @entity625 was observed in 290 (64.0%) @entity1 with articular involvement. Documented previous @entity883 assessed by serum antistreptolysin (ASO) titers occurred in 531 (67.5%) @entity1 . Even though prophylaxis with @entity9385 penicillin was recommended to all @entity1 , recurrent attacks were observed in 147 (18.7%). We emphasize the high frequency of @entity4790 , silent @entity2401 and recurrences in our series as well as the variable clinical presentation of @entity625 in @entity4789 . Multicenter studies should be encouraged to improve our understanding of the clinical features of @entity627 in @entity1 and adolescents.
