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Academia Mexicana de Neurología, A.C.

2018, Number 1

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Rev Mex Neuroci 2018; 19 (1)

Sydenham’s chorea: a practical review of current literature

Vásquez-Builes S, Correa-Roldan MC, Rojas-Gallego IC, Tieck MP, Díaz-Silva GA

Language: Spanish
References: 67
Page: 56-67
PDF size: 289.14 Kb.


ABSTRACT

The immune-mediated movement disorders have accompanied us throughout history. Sydenham´s chorea is the most common cause of chorea acquired during infancy. Despite its clear association with rheumatic fever, the pathogenesis of Sydenham’s chorea has not been fully elucidated. Autoimmune mechanisms are thought to play a key role in the production of antineuronal antibodies. Cross-reaction between Streptococcus pyogenes proteins and proteins expressed in the striated body would be explained for molecular mimicry. The clinical manifestations of Sydenham´s chorea are diverse. The diagnosis and treatment of Sydenham´s chorea require a multimodal approach.
The present work is a practical and detailed review of the literature of Sydenham’s chorea, including the clinical, pathophysiological and therapeutic aspects of the disease.


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