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Images in paediatrics
Acute rheumatic fever with chorea
  1. Paola Sabrina Buonuomo1,
  2. Marina Macchiaiolo1,
  3. Alessandra Toscano2,
  4. Fabrizio De Benedetti3,
  5. Alberto Villani4,
  6. Andrea Bartuli1
  1. 1Rare Diseases and Medical Genetics Unit, Bambino Gesù Children's Hospital, Rome, Italy
  2. 2Cardiology and Cardiac Surgery, Bambino Gesù Children's Hospital, Rome, Italy
  3. 3Pediatric Rheumatology, Bambino Gesù Children's Hospital, Rome, Italy
  4. 4General Pediatrics and Infectious Diseases Unit, Bambino Gesù Children's Hospital, Rome, Italy
  1. Correspondence to Dr Paola Sabrina Buonuomo, Rare Diseases and Medical Genetics Unit, Department of Pediatric Medicine, Bambino Gesù Children's Hospital, Piazza S. Onofrio, 4, Rome 00135, Italy; psabrina.buonuomo{at}, Sabrina.buonuomo{at}

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A 9-year-old girl was admitted for the recent onset of jerky, uncoordinated choreiform uncontrollable body movements that disappeared while sleeping, clumsiness (see supplementary video 1), slurred speech and episodes of uncontrollable crying.She had a history of mild sore throat 4 weeks before, followed after about 10 days by a non-pruritic, painless, erythematosus macular rash at legs gluteus …

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  • Contributors PSB and MM have contributed to case management and writing. FDB, AV and AB have been involved in the case management. AT has contributed to the evaluation of the cardiac involvement.

  • Funding None.

  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.