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Abstract SUMMARY and CONCLUSION This work was done to estimate the prevala-nce of rheumatic fever and rheumatic heart dise-ases among school children in Egypt. The study included 8878 pupils from Quisna Town in primary and preparatory schools. The number of males was 4594 , while the number of females was 4284 . The pupils aged ( 5 - 15 years). Every pupil was examined generally and locally for the heart to detect any organic lesion. To ensure the diagn-osis of some active cases , They were subjected to some investigations in Benha University Hospital; plane - X - ray , E.C.G. , S.R. , C.R.P., A.S.O. titer. The results revealed the following : Out of the total number of examined pupils , 35 cases were found to have rheumatic heart diseases. Out of these cases , 4 cases were found to have rheumatic activity , while 31 cases were quiescent without activity. The prevalance rate of rheumatic heart disease among school children aged 5 - 15 years in Quisna Town was 0.39 7, . There was no significant sex difference between males are females , as the prevalence in males was 57.1 Yr, while the prevalance in females was 42.97 . The majority of active cases showed arthr-itis and carditis (3 cases) , while rheumatic chorea was present in only one case In cases of arthritis and carditis the E.S.R. was raised , A.S.O. titer was above 300 Tu. units , C.R.P. was positive , while in the case of rheumatic chorea , all of those were normal. The mitral valve was affected in 950A of cases , while the aortic valve was affected in 2.8 A . |