The various manifestations of the rheumatic state as exemplified in childhood and early life.

  • Cheadle, Walter B. (Walter Butler), 1835-1910.
Date:
1889
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Licence: Public Domain Mark

Credit: The various manifestations of the rheumatic state as exemplified in childhood and early life. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    Endocarditis and pericarditis, for example, are so constantly seen as immediate accompaniments of articular rheumatism, even in adults, that there is no question of their relation to it; and in the case of children the connection is still more frequent and more intimate. Pleurisy, again, and tonsillitis are allowed to be not unfrequently accompaniments of articular rheumatism in both periods of life. But with these I think the list ends as far as adults are concerned. If we turn to children, however, we learn that the scope of acute rheumatism is wider still. Other manifestations appear in undoubted associa- tion with it in early life, and must be included in the series of rheumatic phases, although some decline or disappear in later life. Subcutaneous tendinous nodules, chorea, and exudative erythema are (the first I think always, the two latter commonly) deve- lopments of rheumatism. There are other affections which have been deemed by some to be minor expres- sions of the rheumatic diathesis. I have not satisfied myself upon this point, and I wish to limit the list to those generally accepted as having some connec- tion with it. The claims of endocarditis, of pericar- ditis, of pleurisy, of tonsillitis, of exudative erythema, of chorea, of subcutaneous nodules, will hardly, I think, be seriously disputed. I shall have something