A typical recurrence of rheumatic chorea

Gunjan Pankaj Kumar, Ankita Singh, Swati Mulye


Syndenhams Chorea in acute rheumatic fever is reported to occur in 20-30% of patients. It is usually late onset, occurring upto 6 months after acute infection but may occasionally be present as presenting symptom of rheumatic fever. It is a self-limiting condition with spontaneous remission lasting from 1 week to 6 months. The risk of recurrence is present in 1st 1-2 years in about 20% of cases. Most of children (two thirds) with rheumatic fever are of school age (5-15 years of age). It is common in India and the incidence has not shown the declining trends seen in the developing countries. We report the clinical findings, investigations and the course of clinical development of a 14-year-old girl, who presented with Rheumatic chorea which recurred 3 years after the initial episode.


Rheumatic fever, Chorea, relapse

Full Text:



Ramanan PV, Premkumar S. Youngest patient with Sydenham’s chorea. J Indian Med Assoc. 2009;107(4):246-53.

Lin WS, Su WJ, Lin KL, Huang JL, Wang HS. Hemichorea as a presentation of acute rheumatic fever. Chang Gung Med J. 2006;29:612-6.

Woo CLF, Liu KT, Young BWY. Acute rheumatic fever presenting with Sydenham’s chorea. HK J Paediatr (new series). 2003;8:198-202.

Klawans HL, Brandabur MM. Chorea in childhood. Pediatr Ann. 1993;22:41-50.

Bitar FF, Hayek P, Obeid M. Gharzeddine W, Mikati M, Dbaibo GS. Rheumatic fever in children: a 15-year experience in a developing country. Pediatr Cardiol. 2000;21:119-22.

Fenichol GM. Chorea. In: Fenichol GM, eds. Clinical Pediatric Neurology: a Signs and Symptoms Approach. 4th ed. Philadelphia: W.B. Saunders Co.; 2001: 281-286.

Swedo SE, Leonard HL, Schapiro MB, Casey BJ, Mannheim GB, and Lenane MC, et al. Sydenham’s chorea: physical and psychological symptoms of St Vitus dance. Pediatrics. 1993;91:706-13.

Higgins DS. Chorea and its disorders. Neurol Clin. 2001;19:707-22.