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Rheumatic chorea Save

ICD-10 code: I02

Chapter: Diseases of the circulatory system

Rheumatic Chorea: Symptoms, Causes, and Treatment Options

Rheumatic chorea is a neurological disorder that commonly affects children and adolescents. It is often associated with rheumatic fever, an inflammatory condition that occurs after an infection with streptococcus bacteria. In this article, we will provide an overview of rheumatic chorea, its symptoms, causes, and treatment options.

Symptoms of Rheumatic Chorea

The most common symptom of rheumatic chorea is involuntary movements of the body, particularly in the face, hands, and feet. These movements can be quick and jerky, or slow and writhing. Other symptoms include:

  1. Difficulty with handwriting or other fine motor tasks
  2. Unusual postures or gait
  3. Emotional instability or mood changes
  4. Speech difficulties or slurred speech
  5. Difficulty concentrating or paying attention
Causes of Rheumatic Chorea

Rheumatic chorea is caused by an autoimmune reaction triggered by a streptococcus infection. The antibodies that the immune system produces to fight the infection can attack the basal ganglia, a group of structures in the brain that control movement. This leads to the characteristic involuntary movements of rheumatic chorea.

Treatment Options for Rheumatic Chorea

Treatment for rheumatic chorea typically involves managing the underlying streptococcus infection with antibiotics. In addition, medications such as antipsychotics or benzodiazepines may be used to help control the involuntary movements. It is also important to provide emotional support to children with rheumatic chorea, as they may experience difficulties with self-esteem and social interactions due to their symptoms.

In severe cases, hospitalization may be necessary to manage symptoms and provide intensive treatment. Physical therapy or occupational therapy may also be recommended to help improve fine motor skills and overall function.


While rheumatic chorea can be a challenging condition for children and their families, with the appropriate treatment and support, most individuals with this disorder can lead fulfilling lives. If you suspect that your child may be experiencing symptoms of rheumatic chorea, it is important to seek medical attention promptly to begin appropriate treatment.