What are the symptoms of rheumatic fever in children?

Patient's question:

A friend's little daughter suffers from rheumatic fever, and she has been diagnosed with it for two years. The condition has been unstable, with various symptoms frequently recurring. I'm not sure if these are symptoms of rheumatic fever or some other illness. So, I would like to ask: what are the symptoms of rheumatic fever?

Doctor's answer:

Rheumatic fever is one of the main diseases that endanger the life and health of school-aged children in pediatrics. Its inflammation is a non-suppurative inflammation of the systemic connective tissue. Rheumatic fever is mainly caused by the dysfunction of the autoimmune mechanism after children are infected with a certain pathogen. After infection, it interferes with the heart, joints, central nervous system, and subcutaneous tissues, but it is most prominent in the heart and joints, leading to heart disease, recurrent inflammatory lesions in bones and joints, and the reappearance of annular erythema on the skin. Children and young people over the age of 5 are more susceptible. However, apart from a certain familial generational hereditary reverse psychology, it can be further confirmed by combining family history, but it is still recommended to go to the hospital for a detailed and thorough examination to diagnose it.

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