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August 15, 1936


JAMA. 1936;107(7):502-503. doi:10.1001/jama.1936.02770330032011

The abdominal syndrome is one of the most frequently overlooked symptoms of childhood rheumatic disease. Wolffe and Brim,1 writing in the current issue of the American Journal of Diseases of Children, call attention especially to a group of children in whom recurrent abdominal cramps lasting from six months to several years were apparently the only subjective manifestation of an active phase of rheumatic infection. The cramps lasted as a rule from a few minutes to a few hours and tended to recur frequently. At times the child complains of nausea and sometimes vomiting. The episode is usually closed before the next meal. Pain is felt frequently around the umbilicus for a short time but sometimes becomes generalized. Tenderness and rigidity are usually absent. Characteristic histories are difficult to obtain, and it is often not until evidence of organic cardiac disease is accidentally discovered that such experiences are related to

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