the patient was a 19 year-old woman with the diagnosis of resistant hypertension, although she was under treatment of three classes of anti-hypertensive drugs (beta blocker, angiotensin receptor blocker, diuretic) for more than one year. in physical examination there was only a significant difference between the systolic blood pressure of upper and lower extremities (200 vs. 120 mmhg), without ...

BACKGROUND Acute rheumatic fever and its sequels, rheumatic heart diseases, remain major unsolved preventable health problems in Kosovo population, particularly among the disadvantages indigenous Albanian and Egyptians people. In Kosovo, despite of performing secondary prophylaxis with benzathine penicillin, acute rheumatic fever hospitalization rates have remained essentially unchanged for the...

The frequency of antigen types (A, B, C, and DR) in an unselected group of 25 patients with chronic rheumatic heart disease and an unselected group of 15 patients with acute rheumatic fever was compared with that in a group of 100 healthy volunteers. All patients and controls were Arabs of Saudi origin. Only the frequency of HLA-DR4 was significantly different in the controls and the patient gr...

Rheumatic heart disease (RHD) is the most common cause of acquired in children and young adults. It continues to be prevalent many low- middle-income countries where it causes significant morbidity mortality. Following 2017 Cairo conference “Rheumatic Heart Disease: from Molecules Global Community,” experts 21 formulated an approach for addressing problem RHD: “The Accord on Disease.” The attem...

Rheumatic fever and particularly rheumatic heart disease have always been regarded as rare conditions below the age of 5 years and as very rare below 3 years (Holt and McIntosh, 1953). Reported cases are few and no account of the clinical pattern of the disease in the small child has been found in the literature. In the Rheumatic and Heart Clinic, in Cairo University Hospital, we have had the o...