Patient's question:
The daughter of my cousin is only five years old this year. She is particularly naughty and do anything, cause trouble, just like a boy. But recently, for some reason, the child keeps frowning and twitching without any reason. I'm very worried. What should I do?Doctor's answer:
Childhood tics are primarily characterized by single-muscle, repetitive, and involuntary tics, with facial muscles being most commonly affected. Juvenile chorea often involves multiple muscle groups and exhibits varied movements, commonly presenting with large-amplitude involuntary movements of the large joints of the limbs. It may also include symptoms such as shoulder shrugging, arm swinging, squinting, and crooked mouths. Additionally, there may be muscle hypotonia, flaccid and tensionless limbs during passive movement, joint pain in the limbs, sore throat, palpitations, and fever.