- Acute rheumatic fever I00-I02
Acute rheumatic fever I00-I02
Codes
I00 Rheumatic fever without heart involvement
- Rheumatic fever without heart involvement I00
1 Rheumatic fever without heart involvement I00
Type 1 Excludes
Includes
- arthritis, rheumatic, acute or subacute
Codes
- I00 Rheumatic fever without heart involvement
I01 Rheumatic fever with heart involvement
2 Rheumatic fever with heart involvement I01
Type 1 Excludes
chronic diseases of rheumatic origin (I05-I09 ) unless rheumatic fever is also present or there is evidence of reactivation or activity of the rheumatic process.
Clinical Information
Cardiac manifestation of systemic rheumatological conditions, such as rheumatic fever. Rheumatic heart disease can involve any part the heart, most often the heart valves and the endocardium.
Most important manifestation and sequel to rheumatic fever, consisting chiefly of heart valve deformities.
Codes
I01 Rheumatic fever with heart involvement
I01.0 Acute rheumatic pericarditis
I01.1 Acute rheumatic endocarditis
I01.2 Acute rheumatic myocarditis
I01.8 Other acute rheumatic heart disease
I01.9 Acute rheumatic heart disease, unspecified
I02 Rheumatic chorea
3 Rheumatic chorea I02
Type 1 Excludes
- chorea NOS (G25.5)
- Huntington’s chorea (G10)
Includes
- Sydenham’s chorea
Clinical Information
- Acute, usually self-limited disorder of early life, usually between ages 5 and 15, or during pregnancy, and closely linked with rheumatic fever; characterized by involuntary movements that gradually become severe, affecting all motor activities including gait, arm movements, and speech; called also sydenham’s, acute, juvenile, or simple chorea, or st. Vitus dance.
- What: chorea. Chorea (sydenham’s): a neurological disorder characterized by purposeless, rapid, involuntary movements, emotional lability, and muscular weakness. Why: sydenham’s chorea is seen in rheumatic fever. The chorea may be associated with other rheumatic manifestations or it may present as the sole expression of rheumatic fever. How: typically, the onset of chorea is gradual, with irritability, uncooperativeness, fits of anger, crying, and inappropriate behavior present before the choreiform movements are noted. The movements are rapid and jerky, unlike the slower, rhythmic motion seen in athetosis. Characteristically, on raising his arms above the head, the patient turns the arms so as to oppose the backs of the hands. The patient is unable to sustain a tetanic muscular contraction. On squeezing an examiner’s hand the patient can only provide a repetitive, spasmodic grip which is overly pronated and is similar to the motion of milking a cow (milk-maid’s grip). The patient’s facial expression alternates between frowning, grinning and grimacing. His tongue darts in and out of his mouth. His speech is slurred and vacillates between a halting and an explosive rhythm. The deep tendon reflexes tend to be pendular, i.e., when the knee jerk is elicited with the patient sitting, the leg swings back and forth four or five times like a pendulum, rather than one or two times as in a normal person. Chorea is most common prior to puberty, and in females. It is occasionally seen in adult women but never in adult men. Refs: 1) jones criteria (revised) for guidance in the diagnosis of rheumatic fever. Circulation 32:664, 1965. 2) cooper, is: involuntary movement disorders. New york: hoeber, 1969.
Codes