Treatments for Sydenham chorea
Treatments for Sydenham chorea
The list of treatments mentioned in various sources
for Sydenham chorea
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
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Discussion of treatments for Sydenham chorea:
There is no specific treatment for Sydenham chorea.
Treatment is symptomatic and may include bed rest, sedatives, and the drug
diazepam for controlling movements. Penicillin may also be prescribed for
treatment of the fever or infection. Penicillin prophylaxis is often
prescribed to avoid further infections with streptococcal bacteria.
(Source: excerpt from
NINDS Sydenham Chorea Information Page: NINDS)
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Book Excerpts: Treatment of Sydenham chorea
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for more information about the treatments of Sydenham chorea.
Chorea:
Treatment
(In a Page: Signs and Symptoms)
-
Huntington's disease: Antidepressants may reduce depressive symptoms; neuroleptics (e.g., haloperidol, clozapine) may suppress choreic movements; disease is progressive and fatal; genetic counseling is suggested
-
Sydenham's chorea is usually self-limited with symptom resolution within 15 weeks
-
Acute rheumatic fever: Corticosteroids may shorten course of chorea; antibiotic therapy with penicillin for at least 10 days
-
Drug-induced chorea: Discontinue or reduce dosage of implicated medications; atypical neuroleptics are associated with decreased risk of involuntary movements
-
Chorea gravidarum may require delivery
-
Wilson's disease: Copper-chelating agents
-
Neuroacanthocytosis: Usually fatal within 9 years of symptom onset
-
Specific therapy for lupus, hyperthyroidism, AIDS
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Source: In a Page: Signs and Symptoms, 2004
Chorea:
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
Treatment should be reserved for patients in whom chorea severity interferes with function
–Simple measures such as rest and avoidance of stress often alleviate symptoms
–Anti-epilepsy medications are used for paroxysmal choreas
–Dopamine blockers such as haloperidol and pimozide are used to decrease the movement disorder
-
Sydenham chorea
–May be treated with valproate or pimozide
–Immunosuppression with steroids, intravenous immunoglobulin or plasmapheresis have been used
–Secondary prophylaxis with penicillin is required
-
Wilson disease: Treat with penicillamine, trientene chelation, or zinc
-
In cases of toxin-induced chorea, removal of the offending agent is usually sufficient
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Chorea:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Teach the patient and his family safety measures to reduce the risk of falls and poisoning. Discuss genetic counseling if Huntington’s disease is the cause of the patient’s chorea because each child of a parent with the disease has a 50% chance of inheriting it.
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Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
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