Although articular rheumatism is less common in childhood than in later life, its complications are often of great gravity if not of greater frequency, and its clinical features present certain points of difference at the two periods. Some of these and other points of interest are brought out in a study made by Lachmanski1 of the cases of acute articular rheumatism observed at the Emperor and Empress Frederick Children's Hospital, in Berlin, from August, 1890, to December, 1898, 73 in number, and excluding cases in which the articular lesions appeared as complications of measles, scarlet fever, smallpox, epidemic cerebrospinal meningitis, diphtheria, erysipelas, acute infectious osteomyelitis, and pyemia. There were observed, besides, 23 cases of endocarditis and pericarditis and 13 of chorea in the sequence of polyarthritis.
Girls and boys were attacked in about equal number. Cases occurred in each year between the second and the fourteenth, although they were
ACUTE AND CHRONIC RHEUMATISM IN CHILDHOOD. JAMA. 1900;XXXIV(9):563–564. doi:10.1001/jama.1900.02460090049007
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