Study note
MedicineCardiology

Glucocorticoids in rheumatic fever

THE CONTEXT
Glucocorticoids provide symptomatic treatment in rheumatic fever with carditis or severe arthritis.

Indications and response

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Glucocorticoids produce more rapid symptomatic relief than aspirin.
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They are indicated when carditis or severe arthritis is present.

Prednisolone regimen

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Prednisolone is given at 1.0–2.0 mg/kg per day in divided doses.
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Continue treatment until the ESR is normal, then gradually reduce the dose.
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