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(2) Temperature.—Thirteen cases in this group were afebrile, 1 case ran an
evening temperature of 100°, 2 cases ran an occasional evening temperature
which, however, was not maintained. In one case this did not go higher
than 99.0°, but in the other it sometimes reached 101.4°.
(3) Cardiac change.— (a) The appearance of a murmur. An apical systolic
murmur. conducted out into the axilla, appeared in 15 out of the 16 cases. In
5 cases a double mitral murmur was present, ana in 2 cases a. pre-systolic murmur
was associated with a pre-systolic thrill. In 2 cases both mitral and aortic
lesions were present.
(b) Cardiac enlargement. This was present in 14 cases, hut in only 2 cases
was it considerable.
(c) Pericarditis. This was not present in any of the cases in this group.
(4) Arthritis was not present in any of these 16 cases.
(5) Muscular pains were not present in any of the cases in this group.
(6) Active chorea was present in 1 case.
(7) Rheumatic nodules were not found in any of the cases.
(8) No skin eruptions appeared in any of the cases in this group.
(9) Loss of weight.—Out of the 16 cases in this group, 4 cases were not
weighed, 6 cases lost weight, and 6 cases which had previously been gaining
weight ceased to gain when activity recurred.
Group “C” consisted of less active cases. These numbered 33, and the
E.S.R. readings were in every case between 14 and 30. The clinical evidence of
activity has been based on the same considerations as in group “A” and group “B.”
(1) Pulse rate.—(a) During the day. The resting pulse rate in the cases
in this group varied between 90 and 110. In 27 cases the pulse rate was
maintained between 90 and 100 over a considerable period. In 6 cases it varied
between 100 and 110.
(b) During sleep. The sleeping pulse varied between 70 and 90, except
in 1 case, when it reached 100. In 25 cases it was between 80 and 90. In
7 cases it was between 70 and 80.
(2) Temperature.—29 cases in this group were afebrile. In 4 cases there
was an occasional evening rise of temperature, which never exceeded 99.0° in
any case in this group.
(3) Cardiac change — (a) The appearance of a murmur. An apical systolic
murmur, conducted out into the axilla, developed in 29 out of the 33 cases
in this group. In 1 case there was a basal systolic murmur which was conducted
into the neck. A double mitral lesion was present in 6 cases and in 1 case a
mitral lesion was associated with an aortic one.
(b) Cardiac enlargement was present in 16 cases, but in no case was the
enlargement very marked.
(c) Pericarditis was not present in any of the cases in this group.
(4) Arthritis was not present in any of these 33 cases.
(5) Muscular pains were present in 1 case.
(6) Active chorea occurred in 3 cases.
(7) Rheumatic nodules were absent in all these cases.
(8) No skin eruptions appeared in any of the cases in this group.
(9) Loss of weight.—This occurred in 10 cases out of the 33. In the
remaining cases (with the exception of 3 cases which gained weight steadily
throughout their stay in High Wood) there was failure to gain weight, but no
actual loss during the period of activity.