Pathogenesis Of Rheumatic Heart Disease
Pathogenesis of rheumatic heart disease. Rheumatic fever RF and rheumatic heart disease RHD follow untreated S. There is much evidence to indicate an active role of viruses in the production of heart disease resembling rheumatic heart disease in. Rheumatic fever RF is a delayed sequel to throat infec-tion by Streptococcus pyogenes and affects susceptible untreated children.
Pyogenes throat infections in children who present susceptible genes that favor the development of autoimmune reactions. Based on the major criteria established by Jones and revised by the American Heart Association 1 the disease manifests as polyarthritis carditis chorea erythema marginatum andor subcutaneous nodules. These include 1 inflammation.
Rheumatic fever RF is an acute immunologically mediated multisystem inflammatory disease that occurs a few weeks after an episode of group A streptococca. Genetics and pathogenesis Molecular mimicry between streptococcal and human proteins is considered as the triggering factor leading to autoimmunity in rheumatic fever RF and rheumatic heart disease RHD. Rheumatic fever is the cause of much disability and of many deaths resulting from the acute process and from the chronic heart disease which so frequently follows.
Damage to the heart valves known as rheumatic heart disease RHD usually occurs after repeated attacks but can sometimes occur after one. Rheumatic heart disease is considered to be an autoimmune disease. This failure may have been due to an inadequate definition of the problem and repeated experimental attempts to prove that the streptococcus is the sole agent responsible for the development of rheumatic heart disease.
The pathogenic mechanism of molecular mimicry involves autoantibodies and T cells directed against group A streptococcal cell wall components and heart or brain antigens that have been extensively investigated. Pancarditis and is characterized by scarring and deformity of the heart valves. The pathogenesis of rheumatic heart disease rhd is not well understood.
The commonest valves affecting are the mitral and aortic in that order. 2 remodeling of cardiac myocytes. This inflammation leads to damage to the tissues allowing for an increased risk of recurrence and further complications with the heart valves.
The joints central nervous system endocardium and skin. Pathophysiology of Rheumatic Heart Disease Rheumatic heart disease occurs due to an autoimmune response to rheumatic fever.
Pathology and pathogenesis of rheumatic heart disease.
Rheumatic fever RF is a delayed sequel to throat infec-tion by Streptococcus pyogenes and affects susceptible untreated children. Pyogenes throat infections in children who present susceptible genes that favor the development of autoimmune reactions. Indian J Pathol Microbiol. However all four valves can be affected. Pathology and pathogenesis of rheumatic heart disease. There is much evidence to indicate an active role of viruses in the production of heart disease resembling rheumatic heart disease in. This inflammation leads to damage to the tissues allowing for an increased risk of recurrence and further complications with the heart valves. Rheumatic fever and rheumatic heart disease. These include 1 inflammation.
Genetics and pathogenesis Molecular mimicry between streptococcal and human proteins is considered as the triggering factor leading to autoimmunity in rheumatic fever RF and rheumatic heart disease RHD. Acute rheumatic fever is a multiorgan inflammatory disorder affecting the heart joints brain and skin. In India and other developing countries rheumatic heart disease RHD continues to be a major public health problem and contributes to significant cardiac morbidity and mortality. Cardiovascular disease is on the rise. The damaged valves may result in heart failure atrial fibrillation and infection of the valves. Based on the major criteria established by Jones and revised by the American Heart Association 1 the disease manifests as polyarthritis carditis chorea erythema marginatum andor subcutaneous nodules. This means that the bodys immune system reacts to.
Posting Komentar untuk "Pathogenesis Of Rheumatic Heart Disease"