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April 22, 1893

CASES ILLUSTRATING THE VARIOUS FORMS OF CHRONIC DIFFUSE NEPHRITIS; MITRAL REGURITATION FOLLOWING ACUTE RHEUMATISM.Clinical lecture delivered

JAMA. 1893;XX(16):435-437. doi:10.1001/jama.1893.02420430001001

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Abstract

Chronic Diffuse Nephritis.—J. R., thirty-three years of age, single, a worker in the gas house, near the fire, where he is much exposed to becoming overheated and to draughts, comes to us with the following history. Family history negative. When thirty years old, he had typho-malaria fever, and since this attack he has never been quite well. Soon afterward he developed rheumatism in the left knee, of a subacute type—not having the fever, sweats, etc.

Six months ago he began to complain of pain in the right knee; at the same time the left leg began to swell around the knee, which extended downward to the foot. Two weeks ago there was present, as there is now, much œdema—especially of the right leg. One month ago his abdomen began to swell.

He says he would feel perfectly well now if it were not for the presence of some dyspeptic symptoms.

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