Table 1.
Differential diagnosis of chorea in pediatric age
Etiology | Specific conditions |
---|---|
Central nervous system infections |
Herpes simplex virus, varicella zoster virus, paramyxovirus (measles), HIV, lyme disease, mycoplasma |
Autoimmune |
Sydenham chorea, systemic lupus erythematosus, antiphospholipid syndrome, Neuro-Behcet, primary central nervous system vasculitis |
Neurodegenerative, metabolic, genetic |
Huntington’s disease, Phenylketonuria, Wilson disease, mitochondrial pathologies |
Vascular |
Stroke, post-cardiac transplant, arteriovenous malformation, moya-moya disease |
Endocrinological |
Hyperthyroidism |
Toxic | Anticholinergic toxicity, dopamine antagonists, carbon monoxide, neuroleptic drugs. |
Modified from Luca NJ et al. Paediatr Child Health 2011 [2].