Article
An immunological perspective on rheumatic heart disease pathogenesis: more questions than answers.
Heart (British Cardiac Society) - 1 Oct 2016
Bright Philip David, Mayosi Bongani M, Martin William John
Abstract excerpt
Acute rheumatic fever (ARF) and the related rheumatic heart disease (RHD) are autoimmune diseases thought to be triggered by group A streptococcal (GAS) pharyngitis. RHD is a leading cause of mortality in the developing world. The strong epidemiological association between GAS throat infection and ARF is highly suggestive of causation, but does not exclude other infections as contributory. There is good evidence...
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