Successful treatment of rheumatic chorea with carbamazepine.

Abstract:

:Carbamazepine has been used successfully in the treatment of different movement disorders and was recently reported to be effective for nonhereditary chorea. In view of the significant side effects associated with the drugs currently used to treat chorea, we sought to further evaluate the efficacy of carbamazepine in children with rheumatic chorea. The study was prospective and included 10 children with chorea (eight females and two males; age range = 7-16 years) referred to our Pediatric Rheumatology Clinic between 1995 and 1999. Nine had rheumatic fever and one had antiphospholipid antibody syndrome that later evolved to systemic lupus erythematosus. All were treated with carbamazepine. Improvement was evident within 2-14 days of initiation of low doses of carbamazepine (4-10 mg/kg daily). The plasma drug levels were 2.8-8.2 microg/mL (therapeutic antiepileptic range = 8-12 microg/mL). The chorea disappeared within 2-12 weeks. The duration of treatment was 1-15 months. No side effects were observed. Recurrence was observed in three patients who received a second trial of carbamazepine with a good response. We suggest that carbamazepine may serve as a first-line treatment for rheumatic chorea.

journal_name

Pediatr Neurol

journal_title

Pediatric neurology

authors

Harel L,Zecharia A,Straussberg R,Volovitz B,Amir J

doi

10.1016/s0887-8994(00)00177-6

subject

Has Abstract

pub_date

2000-08-01 00:00:00

pages

147-51

issue

2

eissn

0887-8994

issn

1873-5150

pii

S0887-8994(00)00177-6

journal_volume

23

pub_type

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