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December 1941


Author Affiliations


From the laboratories and wards of the Mount Sinai Hospital.

Arch Intern Med (Chic). 1941;68(6):1074-1094. doi:10.1001/archinte.1941.00200120033003

The occurrence of various pulmonary symptoms and signs in the course of acute and recurrent rheumatic fever has always perplexed clinicians. It is only natural that many writers should attribute them to a specific rheumatic infection. This specificity for the pulmonary changes has been accepted by some clinicians as a corollary to the pathologic alterations in other parts of the body occurring in rheumatic fever.

To Stoll,1 is given the credit for first speaking of "rheumatic pleurisy" and "rheumatic peripneumonia," in 1788. Years later, in 1813, Chomel2 mentioned pulmonary rheumatism. The real impetus to the problem was given by Latham,3 in 1845, and Fuller,4 in 1854. Latham, in a prophetic vein, wrote: "Such forms of pulmonary inflammation are portentous ingredients in the clinical history of acute rheumatism, and give a fearful interest to it," and Fuller went even further by claiming that "the pulmonary inflammation is

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