1. NUTRITION AS A FACTOR CONDITIONING THE INCIDENCE AND COURSE OF RHEUMATIC FEVER
A voluminous literature stresses the predilection of rheumatic fever for the children of the lower economic strata. "No disease has a clearer-cut social incidence than acute rheumatism which falls perhaps thirty times as frequently upon the poorer children of the industrial town as upon the children of the well-to-do. I agree with those who hold that the incidence. increases directly with poverty, malnutrition, over-crowding and bad housing."1 In Marshall's2 series of 180 cases only 8 cases of rheumatism and carditis and 1 of chorea and carditis occurred in his upper economic group. Warner's3 study showed a low intake of milk in the affected group. "Perhaps the most striking fact suggesting that an increase in animal fat in the form of fresh milk and butter may be of prophylactic value is furnished by the figures
JOHNSTON JA. Studies in Rheumatic Fever: 1. Nutrition as a Factor Conditioning the Incidence and Course of Rheumatic Fever 2. Experience Since the Advent of Corticotropin and Cortisone 3. Effect of Activity and Rest on Nutritional State in Rheumatic Fever. AMA Am J Dis Child. 1956;91(3):250–267. doi:https://doi.org/10.1001/archpedi.1956.02060020252007
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