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Article
May 1944

DIFFUSE ISOLATED MYOCARDITIS ASSOCIATED WITH DIETARY DEFICIENCY

Author Affiliations

MEDICAL CORPS, ARMY OF THE UNITED STATES

Arch Intern Med (Chic). 1944;73(5):375-383. doi:10.1001/archinte.1944.00210170012002
Abstract

In recent years there have appeared in the literature many reports describing unusual cases of myocarditis of unknown cause. Various appelations have been applied to the myocardial disease: Fiedler's myocarditis, diffuse isolated myocarditis, myocarditis perniciosa, diffuse granulomatous myocarditis and others. The condition is usually attributed to such causes as infections of the upper respiratory tract, influenza, burns, toxemias and injuries produced by various chemicals. Magner1 expressed the opinion that obscurity of cause could not be considered as justification for the grouping together of these conditions as manifestations of a single disease. It appeared to him that the group is a heterogenous one, possibly including atypical varieties of tuberculous, syphilitic and rheumatic myocarditis as well as certain other inflammatory conditions of unknown and probably variable causation. However, Saphir,2 who recently published an extensive review of the literature pertaining to myocarditis, stated the belief that "one is justified in accepting

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