Resistant Chorea Successfully Treated With Intravenous Immunoglobulin: A Case Report*

Sydenham’s chorea (SC) is common cause of acquired chorea in childhood. SC occurs mainly in children with untreated streptococcal infections. An effective list of therapeutic options has been used to treat this disorder: antiepileptic drugs (valproic acid, carbamazepine etc.), haloperidol, chlorprom...

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Bibliographic Details
Main Authors: Ahmet Sami Guven, Mehmet Burhan Oflaz, Ali Kaya, Fatih Bolat, Utku Aygüneş, Füsun Dilara İçağasıoğlu
Format: Article
Language:English
Published: Galenos Publishing House 2021-12-01
Series:The Journal of Pediatric Academy
Subjects:
Online Access:https://jpediatricacademy.com/index.php/jpa/article/view/146
Description
Summary:Sydenham’s chorea (SC) is common cause of acquired chorea in childhood. SC occurs mainly in children with untreated streptococcal infections. An effective list of therapeutic options has been used to treat this disorder: antiepileptic drugs (valproic acid, carbamazepine etc.), haloperidol, chlorpromazine, amphetamines, steroids, plasma exchange and intravenous immunoglobulins (IVIG). We report a 12-year-old girl with carditis and severely generalized chorea and successfully treated with IVIG. This case report shows that IVIG is an effective treatment for the chorea cases resistant to anticonvulsants, dopamine antagonists and steroids, although larger studies are needed to confirm this conclusion.
ISSN:2718-0875