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Acute rheumatic fever

Acute rheumatic fever is an autoimmune disorder resulting from Group A Streptococcus pharyngitis or impetigo in children and adolescents, which may evolve to rheumatic heart disease (RHD) with persistent cardiac valve damage. RHD causes substantial mortality and morbidity globally, predominantly among socioeconomically disadvantaged populations, with an interplay of social determinants of health and genetic factors determining overall risk.

Citation:
Hirani K, Rwebembera J, Webb R, Beaton A, Kado J, Carapetis J, Bowen A. Acute rheumatic fever. The Lancet. 2025;405(10495):2164-78.

Keywords:
Acute Disease; anti-Bacterial agents; therapeutic use; 
rheumatic fever; diagnosis; epidemiology; physiopathology; prevention & control; etiology; streptococcal infections; vaccines; pyogenes

Abstract:
Acute rheumatic fever is an autoimmune disorder resulting from Group A Streptococcus pharyngitis or impetigo in children and adolescents, which may evolve to rheumatic heart disease (RHD) with persistent cardiac valve damage. RHD causes substantial mortality and morbidity globally, predominantly among socioeconomically disadvantaged populations, with an interplay of social determinants of health and genetic factors determining overall risk.