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February 11, 1905


Author Affiliations

Professor of Neuropathology and Associate Professor of Neurology in the University of Pennsylvania. PHILADELPHIA.

JAMA. 1905;XLIV(6):433-437. doi:10.1001/jama.1905.92500330001001

In discussing the subject of chorea and choreiform movements, I can not hope to present to you any very startling new facts, but possibly I may be able to bring forward some observations which may not be generally known.

Lees,1 in a discussion on chorea before the British Medical Association in 1903, remarked that chorea is often the first of a series of rheumatic attacks, and said that Batten, in 115 cases of chorea, found that whereas the percentage of previous rheumatism was stated to be only 32.2 per cent., three years later so many patients had subsequently suffered from rheumatism that the percentage rose to 43.5, and three years later still it had risen to 53.2 per cent., so that the lapse of six years had increased the percentage by 21 per cent.

Lees said further that pain and swelling of joints, which