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In page Sydenham's chorea:
"Recurrence is seen in 16–40% of cases. It is sometimes but not always associated with a rise in ASO titre or other evidence of new streptococcal infection. Recurrence is more likely with poor compliance with penicillin prophylaxis. It is more likely if there is failure to remit within 6 months of onset. Recurrence is associated in women with pregnancy (chorea gravidorum) and with female hormone treatment, although the onset of chorea can be delayed by months or more.[citation needed]
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