Skip to main content
Erschienen in: European Journal of Pediatrics 6/2020

21.01.2020 | Short Communication

Preliminary data on prednisone effectiveness in children with Sydenham chorea

verfasst von: Elena Favaretto, Giulia Gortani, Gabriele Simonini, Serena Pastore, Alberto Di Mascio, Rolando Cimaz, Andrea Taddio

Erschienen in: European Journal of Pediatrics | Ausgabe 6/2020

Einloggen, um Zugang zu erhalten

Abstract

The objective of the study is to evaluate the efficacy of corticosteroids in Sydenham chorea. This is a retrospective observational study. Clinical information of children with Sydenham chorea were collected. Outcome of Sydenham chorea was evaluated in consideration of presence or absence of corticosteroid therapy. Thirty patients were enrolled. A total of 15 were treated with prednisone, 15 received symptomatic drugs or no treatment. Patients who were treated with prednisone showed faster improvement (4 vs 16 days; p = 0.002) and shorter median time of remission (30 vs 135 days; p < 0.001).
Conclusion: Our study showed that corticosteroid therapy is an effective treatment of Sydenham chorea.
What is Known:
• Steroid treatment in Sydenham chorea is widely used but it is not standardized.
• Few manuscript report a beneficial use of steroids in Sydenham chorea if compared with no treatment.
What is New:
• Steroid treatment seems to be effective in both clinical remission and clinical improvement of symptoms among patients with Sydenham chorea.
• Steroid treatment seems to be superior to conventional treatment.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat Gewitz MH, Baltimore RS, Tani LY, Sable CA, Shulman ST, Carapetis J, Remenyi B, Taubert KA, Bolger AF, Beerman L, Mayosi BM, Beaton A, Pandian NG, Kaplan EL (2015) Revision of the Jones criteria for the diagnosis of acute rheumatic fever in the era of Doppler echocardiography: a scientific statement from the American Heart Association. Circulation 131:1806–1818. https://doi.org/10.1161/CIR.0000000000000205 CrossRefPubMed Gewitz MH, Baltimore RS, Tani LY, Sable CA, Shulman ST, Carapetis J, Remenyi B, Taubert KA, Bolger AF, Beerman L, Mayosi BM, Beaton A, Pandian NG, Kaplan EL (2015) Revision of the Jones criteria for the diagnosis of acute rheumatic fever in the era of Doppler echocardiography: a scientific statement from the American Heart Association. Circulation 131:1806–1818. https://​doi.​org/​10.​1161/​CIR.​0000000000000205​ CrossRefPubMed
4.
Zurück zum Zitat Cox CJ, Sharma M, Leckman JF, Zuccolo J, Zuccolo A, Kovoor A, Swedo SE, Cunningham MW (2013) Brain human monoclonal autoantibody from Sydenham chorea targets dopaminergic neurons in transgenic mice and signals dopamine D2 receptor: implications in human disease. J Immunol 191:5524–5541. https://doi.org/10.4049/jimmunol.1102592 CrossRefPubMed Cox CJ, Sharma M, Leckman JF, Zuccolo J, Zuccolo A, Kovoor A, Swedo SE, Cunningham MW (2013) Brain human monoclonal autoantibody from Sydenham chorea targets dopaminergic neurons in transgenic mice and signals dopamine D2 receptor: implications in human disease. J Immunol 191:5524–5541. https://​doi.​org/​10.​4049/​jimmunol.​1102592 CrossRefPubMed
8.
Zurück zum Zitat Dajani AS, Ayoub E, Bierman FZ, Bisno AL, Denny FW, Durack DT, Ferrieri P, Freed M, Gerber M, Kaplan E, Karchmer AM, Markowitz M, Shahbudin R, Shulman ST, Stollerman G, Takahashi M, Taranta A, Taubert K, Wilson W (1992) Guidelines for the diagnosis of rheumatic fever: Jones criteria, 1992 update. JAMA 268:2069–2073. https://doi.org/10.1001/jama.1992.03490150121036 CrossRef Dajani AS, Ayoub E, Bierman FZ, Bisno AL, Denny FW, Durack DT, Ferrieri P, Freed M, Gerber M, Kaplan E, Karchmer AM, Markowitz M, Shahbudin R, Shulman ST, Stollerman G, Takahashi M, Taranta A, Taubert K, Wilson W (1992) Guidelines for the diagnosis of rheumatic fever: Jones criteria, 1992 update. JAMA 268:2069–2073. https://​doi.​org/​10.​1001/​jama.​1992.​03490150121036 CrossRef
10.
Zurück zum Zitat Green LN (1978) Corticosteroids in the treatment of Sydenham’s chorea. Arch Neurol 35:53–54CrossRef Green LN (1978) Corticosteroids in the treatment of Sydenham’s chorea. Arch Neurol 35:53–54CrossRef
12.
Zurück zum Zitat Barash J, Margalith D, Matitiau A (2005) Corticosteroid treatment in patients with Sydenham’s chorea. Pediatr Neurol 3:205–207CrossRef Barash J, Margalith D, Matitiau A (2005) Corticosteroid treatment in patients with Sydenham’s chorea. Pediatr Neurol 3:205–207CrossRef
Metadaten
Titel
Preliminary data on prednisone effectiveness in children with Sydenham chorea
verfasst von
Elena Favaretto
Giulia Gortani
Gabriele Simonini
Serena Pastore
Alberto Di Mascio
Rolando Cimaz
Andrea Taddio
Publikationsdatum
21.01.2020
Verlag
Springer Berlin Heidelberg
Erschienen in
European Journal of Pediatrics / Ausgabe 6/2020
Print ISSN: 0340-6199
Elektronische ISSN: 1432-1076
DOI
https://doi.org/10.1007/s00431-020-03574-y

Weitere Artikel der Ausgabe 6/2020

European Journal of Pediatrics 6/2020 Zur Ausgabe

Update Pädiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.