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August 1936


Author Affiliations

From the Department of Pediatrics of the School of Medicine, the University of Pennsylvania, and the Children's Hospital.

Am J Dis Child. 1936;52(2):280-295. doi:10.1001/archpedi.1936.04140020023003

That the incidence and clinical characteristics of rheumatic fever may vary in different parts of the world and in different parts of the United States is indicated by statistical reports.1 It has been stated that data bearing on the complications and prognosis in one region may not necessarily apply in more distant points.

In order to obtain information concerning rheumatic fever as it manifests itself among the patients of the Children's Hospital, a study has been made of the records of all rheumatic patients treated in the wards or in the clinic for patients with heart disease during the period from 1922 to 1932, inclusive. This group presents a cross-section of rheumatic infection in childhood, since it includes children with fulminating types resulting in death early in the first attack and children admitted to the wards with rheumatic fever or chorea and supervised subsequently by their private physicians or