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November 1935

RHEUMATIC PLEURISYWITH PARTICULAR REFERENCE TO ITS DEMONSTRATION BY ROENTGEN STUDY

Am J Dis Child. 1935;50(5):1187-1195. doi:10.1001/archpedi.1935.01970110095013
Abstract

Clinically, rheumatic pleurisy is a rather uncommon syndrome. Occasionally during the course of polyarthritis the patient may complain of pain in the chest, a pleuritic friction rub is heard and the diagnosis of rheumatic pleurisy is made. Less frequently an effusion is revealed which on paracentesis proves to be an exudate. Brown1 has emphasized the fact that pleurisy involving the interlobar pleura may not give any definite clinical signs and yet may be readily demonstrable on lateral roentgen study of the chest. With this method we have demonstrated the presence of interlobar pleurisy in a large number of our patients with active rheumatism, although the majority gave no history of a pleuritic or pneumonic episode.

REPORT OF CASES  Case 1.—R. F., a girl aged 5 years, was admitted to the Kings County Hospital on April 30, 1934, with a complaint of sore throat, fever and pain in both sides

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