The occult rheumatic scourge: A clinicopathological analysis of missed rheumatic heart disease.

Aims: To study the clinical and pathological manifestations of missed cases of rheumatic heart disease (RHD) and postulate possible reasons behind a missed diagnosis.

Materials And Methods: Retrospective 20-year (2000-2019) autopsy data of chronic RHD were reviewed and patients, in whom the valvular deformities had been incidental autopsy findings, were selected. The clinical details of these patients were correlated with the morphology of the affected valves.

Acute rheumatic fever - A pathological analysis of clinically missed cases.

Background: Acute rheumatic fever (ARF) and its post-inflammatory sequel chronic rheumatic heart disease (RHD) are endemic in the Indian setting. Despite the updated Jones criteria, many cases of ARF remain undiagnosed or are missed.

Aims: This study aims to analyze pathological profiles of such cases and their importance in context of clinical presentation and Jones criteria.