Sydenham chorea


Sy·den·ham cho·re·a

(sid'ĕn-ham), a postinfectious chorea appearing several months after a streptococcal infection with subsequent rheumatic fever. The chorea typically involves the distal limbs and is associated with hypotonia and emotional lability. Improvement occurs over weeks or months and exacerbations occur without associated infection recurrence. Synonym(s): acute chorea, chorea minor, juvenile chorea, rheumatic chorea, Sydenham disease

Sy·den·ham cho·re·a

(sid'ĕn-ham kōr-ē'ă) A postinfectious chorea appearing several months after a streptococcal infection with subsequent rheumatic fever. The chorea typically involves the distal limbs and is associated with hypotonia and emotional lability. Improvement occurs over weeks or months, and exacerbations occur without associated infection recurrence.

Sydenham chorea

S25-923320 (sid'en-amz) [Thomas Sydenham, Brit. physician, 1624–1689] A rare neurological syndrome associated with acute rheumatic fever, marked by involuntary dancing movements of the muscles of the trunk and extremities, anxiety and other psychological symptoms, and, occasionally, cognitive disorders. It is seen infrequently in Western societies because of the prompt and effective treatment of most cases of strep throat.

Treatment

Benzodiazepines, such as diazepam or lorazepam, are given to limit the choreiform movements. Penicillin or another appropriate antibiotic is given to eradicate the streptococcal infection causing the rheumatic fever.

Prognosis

Recovery usually occurs within 2 to 3 months. Relapses, esp. in young women, may occur when oral contraceptives are used or during pregnancy. Other complications, such as congestive heart failure or death, may result from the carditis that accompanies rheumatic fever.

Synonym: chorea minor

Sydenham,

Thomas, English physician, 1624-1689. Sydenham chorea - a postinfectious chorea appearing several months after a streptococcal infection, with subsequent rheumatic fever. Synonym(s): Sydenham disease; Sydenham syndromeSydenham coughSydenham disease - Synonym(s): Sydenham choreaSydenham syndrome - Synonym(s): Sydenham chorea