The rheumatic nodules that receive so much attention from British writers on rheumatism in children are almost universally considered a rare condition with us. In all our textbooks there is a striking uniformity of expression that these nodules are common in England, but are rarely seen in this country.
Thus Holt and Howland1 say: "They are certainly not common in this country, and although we have made it a rule to examine rheumatic patients for them, we have seen them but seldom, and they have been prominent in only eight or ten cases. This has also been the experience of most observers in this country. From published reports, however, they appear to be much more frequent in England." In the 1911 edition of Holt2 the prominent cases had been placed at "two or three."
Koplik3 says: "The so-called subcutaneous rheumatic nodules are seen in children less frequently
BRENNEMANN J. THE INCIDENCE AND SIGNIFICANCE OF THE RHEUMATIC NODULES IN CHILDREN. Am J Dis Child. 1919;18(3):179–186. doi:10.1001/archpedi.1919.04110330029004
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