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May 31, 1930


JAMA. 1930;94(22):1782. doi:10.1001/jama.1930.02710480058030

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To the Editor:  —The abdominal pain arising at the onset or during the course of acute rheumatic fever has been the subject of much speculative comment among both cardiologists and pediatricians. A paper by Costedoat (Bull. et mém. Soc. méd. d. Hôp. de Paris53:1353 [Dec. 2] 1929) and a subsequent communication by Dr. J. D. Geissenger (The Journal, May 3, p. 1427) indicates the paucity of literature on this subject, which, strangely enough, is not unfamiliar, especially among physicians practicing in the Eastern seaboard cities of this country, where acute rheumatic fever is endemic.At a meeting of the Metropolitan Medical Society held at the New York Academy of Medicine, Jan. 25, 1927, I reported a case of rheumatic pericarditis simulating an acute surgical condition of the abdomen. The patient was a child about 6 years old who was suddenly seized with epigastric pain while playing in the

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