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Acute Rheumatic Infection in Children.
Author(s) -
FRIEDLæNDER AXEL
Publication year - 1945
Publication title -
acta pædiatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/j.1651-2227.1945.tb16833.x
Subject(s) - medicine , carditis , polyarthritis , dermatology , tonsillitis , erythema nodosum , pediatrics , tonsillectomy , cardiology , rheumatic fever , arthritis , surgery , disease
Summary. A material is presented comprising 446 children treated during the period 1914–43 in Kronprinsessan Lovisa's Children's Hospital in Stockholm for acute rheumatic infection. (Polyarthritis rheum.: 248 cases, Chorea rheum.: 198 cases.) Ekg and Fkg were systematically performed on 83 children during 1933–43. Age, year division, family disposition, mortality and recurrence percentage are investigated. Certain characteristic symptoms in the initial stage (abdominal pain, tonsillitis, free interval and monarticular appearance) are described.— The results of tonsillectomy are discussed The frequency, diagnostic and prognostic value of erythema annulare, multiform erythema, rheumatic nodules and rheum. erythema nodosum are mentioned. Concerning the involvement of the heart, attention is drawn to the »primary» carditis, and the importance of Fkg for the early diagnosis of endocarditis is stressed (particularly phonocardiographic registration of gallop rhythm, systolic and diastolic murmurs are emphasized). The value of Fkg in the differential diagnosis between cong. heart disease, rheumatic carditis and »physiological» murmurs are discussed.— Some details as to rheumatic anaemia and the sedimentation rate during the course of ac. e. rheum, inf. are demonstrated.