Malnutrition and severe rheumatic heart disease underscoring failure to thrive in an eleven-year-old boy
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SummaryWe describe an eleven-year-old boy with severe retardation in physical growth and severe rheumatic valvar disease. At surgery, a sample of the atrial appendage showed Aschoff nodules, although no antecedent of rheumatic fever was recorded. The patient was HLA-DR5 positive. The case emphasizes the strong association of malnutrition with severe rheumatic heart disease in northeast Brazil.
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2014 ◽
Vol 23
(6)
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pp. 319-326
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2012 ◽
Vol 14
(12)
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pp. 1111-1117
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2012 ◽
Vol 48
(8)
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pp. 692-697
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2009 ◽
Vol 56
(6)
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pp. 1401-1419
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