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November 18, 1893

Chorea or St. Vitus' Dance in Children.

JAMA. 1893;XXI(21):783. doi:10.1001/jama.1893.02420730033019

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This little work is occupied with a description of chorea, several hypotheses which have been provided to explain it, its alleged rheumatic connection, and its various complications. In Chapter XI there are a number of illustrative cases, together with comments thereon. The appendix contains an abstract of 177 cases. In the matter of treatment, the author recommends care in hospital for the majority of cases. In the matter of drugs, the author says: "Finally, we come face to face with the question of drugs. Apart from narcotics, whose use is limited to severe cases, and apart from ordinary medicaments, such as aperients, is there any drug directly serviceable in the sense of having some specific action? In my belief there is none." The author does not doubt the virtue of arsenic in certain cases and under certain limitations, but he does not believe in the indiscriminate use of any drug.

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