Chorea Minor Sydenham chorea (SD)

Is a neurological disorder of childhood resulting from infection via Group A beta-hemolytic streptococcus (GABHS), the bacterium that causes rheumatic fever.

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• Is a neurological disorder of childhood resulting from infection via Group A beta-hemolytic streptococcus (GABHS), the bacterium that causes rheumatic fever. SD is characterized by rapid, irregular, and aimless involuntary movements of the arms and legs, trunk, and facial muscles. Sydenham’s is also associated with psychiatric symptoms with obsessive compulsive disorder being the most frequent manifestation.
• Neurologic symptoms of SC include behavior change, dysarthria, gait change, loss of fine and gross motor control with resultant deterioration of handwriting, headache, slowed cognition, facial grimacing, fidgetiness and hypotonia.
• It affects girls more often than boys and typically occurs between 5 and 15 years of age. Fifty percent of patients with acute SC spontaneously recover after 2 to 6 months whilst mild or moderate chorea or other motor symptoms can persist for up to and over 2 years in some cases.

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