Diagnosis of Growing Pain in Bangladeshi Pediatric Population

Background: Unexplained limb pain is a major diagnostic challenge. Parents become very much worried as their physician are not sure regarding accurate diagnosis of unexplained limb pain. Majority of the limb pain are due to Growing pain which can be diagnosed by using Standard Criteria. Objectives: The purpose of the present study was to see the clinical aspects of growing pain and to determine the causes of unexplained limb pain. Methodology: This study prospectively examined the presence of growing pain in a self reported population of children with limb pain of unexplained etiology attending National Center for Control of Rheumatic Fever and Heart Disease over the period of 6 months. Results: Total 57 children of 3-12 yrs of age were enrolled in this study and out of them 43(75.4%) were diagnosed as Growing Pain. Mean age of growing pain was 7.77(2.66). 19 children (44.2%) were male and 24 (55.8%) were female. Most frequent site of pain was calf (65.1%) and 95% cases pain occur at night. Growing Pain usually occur at slow growing period (86%) than rapid growing period (14%). Conclusion: Majority of unexplained limb pain are growing pain which is benign. DOI: http://dx.doi.org/10.3329/jssmc.v5i1.16251 J Shaheed Suhrawardy Med Coll, 2013;5(1):46-48

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What Lies Ahead for Young Hearts in the 21st Century – Is It Double Trouble of Acute Rheumatic Fever and Kawasaki Disease in Developing Countries?

Frontiers in Cardiovascular Medicine ◽

10.3389/fcvm.2021.694393 ◽

2021 ◽

Vol 8 ◽

Author(s):

Aaqib Zaffar Banday ◽

Sanjib Mondal ◽

Prabal Barman ◽

Archan Sil ◽

Rajni Kumrah ◽

...

Keyword(s):

Developing Countries ◽

Heart Disease ◽

High Risk ◽

Kawasaki Disease ◽

Rheumatic Fever ◽

Health Care Providers ◽

Acute Rheumatic Fever ◽

Pediatric Population ◽

Care Providers ◽

Incidence Trends

Rheumatic heart disease (RHD), the principal long-term sequel of acute rheumatic fever (ARF), has been a major contributor to cardiac-related mortality in general population, especially in developing countries. With improvement in health and sanitation facilities across the globe, there has been almost a 50% reduction in mortality rate due to RHD over the last 25 years. However, recent estimates suggest that RHD still results in more than 300,000 deaths annually. In India alone, more than 100,000 deaths occur due to RHD every year (Watkins DA et al., N Engl J Med, 2017). Children and adolescents (aged below 15 years) constitute at least one-fourth of the total population in India. Besides, ARF is, for the most part, a pediatric disorder. The pediatric population, therefore, requires special consideration in developing countries to reduce the burden of RHD. In the developed world, Kawasaki disease (KD) has emerged as the most important cause of acquired heart disease in children. Mirroring global trends over the past two decades, India also has witnessed a surge in the number of cases of KD. Similarly, many regions across the globe classified as “high-risk” for ARF have witnessed an increasing trend in the incidence of KD. This translates to a double challenge faced by pediatric health care providers in improving cardiac outcomes of children affected with ARF or KD. We highlight this predicament by reviewing the incidence trends of ARF and KD over the last 50 years in ARF “high-risk” regions.

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Clinical Aspects of Nonrheumatic Myocarditis in Children : PROCEEDINGS OF THE III. CONFERENCE ON PREVENTION FOR RHEUMATIC FEVER AND RHEUMATIC HEART DISEASE

Japanese Circulation Journal ◽

10.1253/jcj.43.433 ◽

1979 ◽

Vol 43 (5) ◽

pp. 433-440 ◽

Cited By ~ 6

Author(s):

TEIICHI ODA ◽

KUNIHIRO HAMAMOTO ◽

HIDENOBU MORINAGA

Keyword(s):

Heart Disease ◽

Rheumatic Fever ◽

Rheumatic Heart Disease ◽

Clinical Aspects ◽

Rheumatic Heart

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NEWS AND ANNOUNCEMENTS

PEDIATRICS ◽

10.1542/peds.11.2.188 ◽

1953 ◽

Vol 11 (2) ◽

pp. 188-188

Keyword(s):

Heart Disease ◽

American Academy ◽

Rheumatic Fever ◽

Rheumatic Heart Disease ◽

Cardiac Disease ◽

Clinical Aspects ◽

American Academy Of Pediatrics ◽

Short Courses ◽

Major Emphasis ◽

Rheumatic Heart

The Committee on Rheumatic Fever and Cardiac Disease of the American Academy of Pediatrics has assisted in the organization of short courses in rheumatic fever and rheumatic heart disease for pediatricians. In response to this effort 2 special courses will be offered in the spring of 1953. Major emphasis will be given to the clinical aspects of the disease, a minimum of didactic lectures and a maximum opportunity for case studies, auscultation, fluoroscopy, interpretation of electrocardiograms, etc.

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