Acute tonsillitis and pharyngitis have been known, even by the early writers, to be sometimes local complications of acute rheumatism. These manifestations in the throat are either of a prodromic nature, followed sooner or later by an attack of articular or muscular rheumatism, or they are established after other parts of the body have been affected, or the rheumatic throat trouble may be idiopathic. Thus we hear and read of angina rheumatica, tonsillitis rheumatica, etc., and have become used to treat these affections as manifestations of rheumatism, with results that are mostly very satisfactory.
Chronic rheumatic affections of the throat are little known, or at least described. Yet there is no doubt that we have, not infrequently, to deal with obstinate throat ailments that are associated with or due to chronic rheumatism. The first who called attention to this form of chronic laryngitis was Dr. E. Fletcher Ingals, of Chicago,
THORNER M. CHRONIC THROAT AFFECTIONS OF RHEUMATIC ORIGIN.Presented to the Ohio State Medical Society, May 23, 1889.. JAMA. 1890;XIV(19):681–684. doi:10.1001/jama.1890.02410190017001f
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