Acute rheumatic fever associated with Henoch-Schönlein purpura: report of three cases and review of the literature.
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OBJECTIVE
To describe a possible relationship between Henoch-Schönlein purpura and rheumatic fever.
METHODS
Patients with features of both diseases were identified by reviewing the hospital records. Medline and reference lists from published articles were used to search for previous reports of the two conditions occuring simultaneously.
RESULTS
Three newly described cases, and three previous reports of Henoch-Schönlein purpura associated with rheumatic carditis or chorea were identified.
CONCLUSIONS
The coexistence of these two disorders in some patients supports the view that Group A streptococcus may have a pathogenic role in Henoch-Schönlein purpura.