Chorea Gravidarum

Demonstration of choreic movements in a case of chorea gravidarum

“…In recent times, most cases of chorea appearing during pregnancy in developed countries were caused by disease entities like systemic lupus erythematosus, Huntington's disease but rheumatic fever remains the cause in most of the developing countries. Some 35% of patients with chorea gravidarum have a definite history of rheumatism1 and as expected, this patient had a positive history suggestive of rheumatic fever at the age of 15 years. She did not take any treatment at that time because of her ignorance and reported to the hospital only when the home remedies have failed.…”

Outcome of patients with early T1 and T2 squamous cell carcinoma of the base of tongue managed by conventional surgery with adjuvant postoperative radiation

“…As early as 1932 Willson and Preece predicted that women with a history of rheumatic fever would be more likely to develop chorea during pregnancy 8. While rheumatic fever remains the condition most commonly associated with chorea gravidarum, the incidence of rheumatic fever has declined in Western countries and other conditions such as systemic lupus erythematosus (SLE), antiphospholipid antibody syndrome (APLS), syphilis, and encephalitis have also been identified as causes of chorea gravidarum 9.…”

Chorea gravidarum: a rarity in West still haunts pregnant women in the East

“…The occurrence of the first attack after 15 years is uncommon except during pregnancy or related to the use of oral contraceptives 3. Of initial attacks, 80% occur during first pregnancies, and one-half starts during the first trimester 4. The present case also was a primigravida but chorea in this patient had manifested in third trimester following an episode of emotional stress following death of her father.…”