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风湿热是由于 A 族溶血性链球菌感染所致,反复发作的全身胶原组织的一种炎症性疾病。临床表现以心脏炎与关节炎为主,伴有发热、毒血症、皮疹、皮下小结、舞蹈病等症状。关节受累是风湿热的常见症状,其重要性主要在于心脏受累,约占风湿热病例的1/3～1/2。心脏受累以后,重者可在急性期死亡,更多的是引起心脏瓣膜等结构发生慢性疤痕组织和变形。故有“风湿热象条疯狗,舔了一下关节,却咬了一口心脏”的比喻。而在链球菌性咽炎流行的病例中,约有3％病例发生风湿热。风湿热是对劳动人民
Rheumatic fever is an inflammatory disease of recurrent systemic collagen caused by infection with Group A hemolytic streptococci. Clinical manifestations of carditis and arthritis, accompanied by fever, toxemia, rash, subcutaneous nodules, chorea and other symptoms. Joint involvement is a common symptom of rheumatic fever, its importance is mainly involved in the heart, accounting for about 1/3 to 1/2 of cases of rheumatic fever. After the heart is affected, severe cases can die in the acute phase, and more often cause chronic scar tissue and deformation in the heart valves and other structures. Therefore, there is a “mad rheumatoid dog like, licked the joints, but a bite of the heart” metaphor. In the case of streptococcal pharyngitis prevalence, rheumatic fever occurs in about 3% of cases. Rheumatic fever is for working people