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To the Editor:
—In The Journal, January 29, p. 326, in a comment on the preliminary report of Dr. J. C. Small regarding a streptococcic strain isolated in cases of rheumatic fever, the following appears: "In view of the variable course of rheumatic fever, which is a self-limited disease," etc.During the last quarter of a century, students of rheumatic fever have attempted to show that rheumatic fever is not a self-limited disease but that it is in its typical form a progressive process, insidious, treacherous and destructive to cardiac tissues. Any advance in methods of treatment and handling of rheumatic fever which has been gained during the last two decades has been due to a recognition of this conception of the disease.
Torrey RG. RHEUMATIC FEVER. JAMA. 1927;88(12):946. doi:10.1001/jama.1927.02680380070038
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