Show Summary Details
Page of

Case 13 

Case 13
Chapter:
Case 13
Author(s):

Joel David

, Anne Miller

, Anushka Soni

, and Lyn Williamson

DOI:
10.1093/med/9780199587506.003.0013
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2016. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 24 August 2019

A 12-year-old girl presented with a 4-week history of involuntary choreiform movements when walking, initially affecting her right arm, progressing to involve her left arm, legs, and subsequently her face, head, and trunk. It interfered with dressing and feeding herself. She had dysphasia and was noted to have easy bruising. There was no past medical history, but her paternal grandmother had Sydenham’s chorea as a child. She had normal cardiovascular, respiratory, and abdominal examinations, and normal eye movements and fundoscopy. She had small widespread bruises and a mottled rash on her legs (Fig. 13.1). A full blood count showed her to have a thrombocytopenia with platelets of 58 × 109/L.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.