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Yıl:2019; Cilt: 6; Sayı: 1>> Özet
TAM METİN
The Journal of Neurobehavioral Sciences; 2019;6(1):73-75
Sydenham koreanın ayrıcı tanı ve tedavisi: olgu sunumu
F Dağdelen
Tekirdag Public Hospital, Tekirdag
Sydenham koreası ani, istemsiz, aritmik, koreik ve amaçsız hareketlerle karakterize otoimmün kökenli santral sinir sistemi hastalığıdır. Korenin sık görülen nedenlerinden olup, grup A streptokokkal tonsillo farenjitin non-süpüratif sekelidir. Sydenham koreası 1992 modifiye Jones kriterlerine göre akut romatizmal ateşin major kriterlerindendir ve tanı için yeterlidir. Olgu sunumunda çocuk psikiyatrisi kliniğine istemsiz kasılmaları, emosyonel değişiklikleri nedeniyle başvuran 11 yaşındaki kız hasta çocuk nöroloji konsültasyonu ile birlikte Sydenham koreası tanısı almış, belirtileri haloperidol ve valproat tedavisiyle gerileme göstermiştir. Çalışmanın amacı çocuk psikiyatri polikliniğine başvuran sydenham korea’lı vakanın ayrıcı tanı ve tedavisinde duygudurum ve tik bozuklukları açısından benzerliklerin gösterilmesi, benzer bir vakada yardımcı kaynak olabilmesidir
The differential diagnosis and treatment of Sydenham’s chorea:a case report
Sydenham’s chorea is a Immune-mediated disorder of the central nervous system characterized by sudden, involuntary, arrhythmic, choreic, and purposeless movements. It is a nonsuppurative sequel of group A streptococcal tonsillo pharyngitis, which is known to be a common cause of chorea. According to the 1992 modified Jones criteria, acute rheumatic fever is a major criterion and is sufficient evidence on which to base a diagnosis. In this case report, an 11-year-old girl was admitted to the child and adolescent psychiatry clinic with involuntary contractions and emotional changes and was diagnosed with Sydenham’s chorea with neurological consultation and his symptoms regressed with haloperidol and valproate therapy. Theaim of thestudy is to show the similarities in terms of mood and tic disorders in the differential diagnosis and treatment of sydenham chorea case who applied to child psychiatry clinic, can be an auxiliary source in a similar case.

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