The various manifestations of the rheumatic state as exemplified in childhood and early life : lectures delivered before the Harveian Society of London / by W. B. Cheadle.

  • Cheadle, Walter B. (Walter Butler), 1835-1910.
Date:
1889
Catalogue details

Licence: Public Domain Mark

Credit: The various manifestations of the rheumatic state as exemplified in childhood and early life : lectures delivered before the Harveian Society of London / by W. B. Cheadle. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

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    more than once. Clinical examples, from cases ac- tually observed, Avill serve to illustrate most clearly some of the various combinations and the wide ransfe and protean character of rheumatism in children. The most frequent of all is the one with which ^ye are so familiar in adults. Series J.—(1) Arthritis; (2) endocarditis; these may recur more than once without other phases. H. B. K , a hoy of nine, was brought to the Hospital for Sick Children in January 1888, with rheumatism of the joints and advanced mitral disease. Here the arthritis recurred almost yearly, and probably the endocarditis also, for when examined in 1888 thei*e were marked thrill, a double murmur at the aj>ex, and enormous hypertrophy and dilatation; while the chorea did not appear until six years after the first arthritis. Often in childhood to these two manifes- tations are added the development of nodules, and perhaps pericarditis or pleurisy. Series II.—C. H. B was brought to the Hospital for Sick Children in May, 1888, for pains in the knees and in various joints. Small subcutaneous nodules were found on the knees, elbows, and malleoli. He had had pains in the back of the knees and in the ankles for the previous five weeks, never before. There was a double mitral murmur with