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May 1943

NUTRITION AS A CONDITIONING FACTOR IN THE RHEUMATIC STATE

Author Affiliations

NEW YORK
From the Department of Medicine, College of Physicians and Surgeons, Columbia University, and the Presbyterian Hospital.

Am J Dis Child. 1943;65(5):744-756. doi:10.1001/archpedi.1943.02010170066008
Abstract

Many environmental influences associated with unhygienic living have been considered important in the development of rheumatic fever. Whether such living conditions may condition the host to rheumatic fever is unknown; however, it has been shown1 that these factors increase susceptibility to infections of the respiratory tract, predispose to complications and promote the spread of hemolytic streptococci. The evidence available to date indicates that overcrowding exerts its effect through the factor of infection. But, in addition, there is some factor associated with being underprivileged which increases susceptibility of the host to rheumatic fever. To determine whether this conditioning factor may be a faulty dietary, we have conducted nutritional surveys in the city of New York and tested the effect of a reenforced diet on rheumatic children at the Pelham Home. The present paper includes data from these studies.

PROCEDURE  This study is based on the diet records of three groups

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