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October 29, 1892

TONSILLITIS AS AN INITIAL SYMPTOM OF ACUTE RHEUMATISM IN THE ADULT.Read in the Section of Laryngology and Otology at the Forty-third Annual Meeting of the American Medical Association, held at Detroit, Mich., June, 1892.

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JAMA. 1892;XIX(18):519-520. doi:10.1001/jama.1892.02420180013001h

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In attempting to present this subject, I am actuated not especially by the novelty of the subject, which nevertheless I am compelled to believe is far less common than some writers would have us believe, but by the uniqueness of the case, the history of which is herein given, and a desire to direct attention to the two important subjects of diagnosis and treatment. It is well-known that tonsillitis not infrequently occurs during an attack of rheumatism, especially in persons of scrofulous and rheumatic diatheses; but it is only as an introductory symptom that it requires diagnostic skill, and becomes of importance in determining the character of treatment. I now wish to give the history of a succession of cases in the same individual. In giving the history of these attacks, I shall give it in the order in which the attacks occurred. I treated the patient in the last

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