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March 1946

RHEUMATIC FEVER IN NAVAL ENLISTED PERSONNELI. An Analysis of the Major Manifestations Observed, the Factors Involved in Its Occurrence and the Cardiac Residua

Arch Intern Med (Chic). 1946;77(3):317-331. doi:10.1001/archinte.1946.00210380082006

TWO hundred and twenty-one cases of rheumatic fever and rheumatic heart disease observed in this hospital have been analyzed in order to determine the significant factors involved in the occurrence of rheumatic fever in naval personnel, the clinical characteristics of the disease and the effectiveness of intensive salicylate therapy. The factors involved in its occurrence, the major manifestations observed and the incidence of permanent cardiac damage will be considered in this paper.

A significant difference exists between military and civilian population groups affected by rheumatic fever. The average age of onset in civilian life is 8 years, and 70 per cent of the persons affected have already acquired the disease by the age of 15.1 A study of 1,000 cases followed for ten years by Bland and Jones2 clearly indicates the outlook in this childhood group. The average age of onset was 8 years. Ten years later, at an average

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