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Living with Sydenham chorea

A nervous system condition in children, with jerky, uncontrolled movements that follows a strep infection.

Understanding Sydenham chorea

Sydenham chorea is a nervous system condition with rapid, jerky, involuntary movements, especially of the face and limbs.

Muscle weakness, slurred speech, headaches, and seizures can also occur. Children often have emotional or behavior changes such as obsessive-compulsive behavior, distractibility, and sudden laughing or crying. It mostly affects children and teens and usually follows a strep infection by 1 to 8 months. It is one of the major signs of acute rheumatic fever. Movements are worse with stress, tiredness, or excitement. It usually resolves within 3 weeks to 3 months.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Jerky, irregular movements (chorea)
  • Face grimacing
  • Slurred speech
  • Mood swings and irritability
  • Obsessive-compulsive behavior
  • Unsteady walk

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Global Autoimmune Institute may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists)
Expert care
Expert lists: Global Autoimmune Institute
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Global Autoimmune Institute
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Does my child need a heart check for rheumatic fever?
How can we help with school and emotional symptoms?
How long are symptoms likely to last?

Quick facts

Symptoms usually startfrom Childhood to Adulthood

It usually follows a Streptococcal infection by 1 to 8 months and is one of the major signs of acute rheumatic fever.

Neurological

Also known as: chorea minor; rheumatic chorea; sydenham's chorea

Patient organizations

Source: NIH GARD · Sydenham choreaGARD ID 7716 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Sydenham chorea.

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Explore research for Sydenham chorea

Explore actively recruiting Sydenham chorea studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Sydenham chorea with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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