طفلة عمرها ١٠ سنوات بعد التهاب حلق صارت عندها حركات لا إرادية سريعة في الوجه واليدين، وتقلبات مزاجية. أي تشخيص يجب أن يفكر فيه الفريق؟

After a sore throat, a 10-year-old girl develops rapid involuntary movements of the face and hands with mood swings. Which diagnosis should the team consider?

1. Absence epilepsy needing only an EEG
2. A behavioural problem from school stress
3. Sydenham chorea as part of rheumatic fever
4. Recurrent hypoglycaemia

Answer: C) Sydenham chorea as part of rheumatic fever. Sydenham chorea is a major criterion for rheumatic fever and can appear late after infection. It prompts a cardiac assessment because rheumatic fever can damage the valves.