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286
The relative increase in the group Mild and Potential is the
result of the increased care and understanding of parents, and, in
association with the decreased percentage in the group "Definite
Active," is a very encouraging sign.
The Mild and Potential included those cases showing the
first initial symptoms of "growing pains" in highly-strung
children, with or without slight cardiac involvement.
The Definite and Active Group included, besides cases of
frank rheumatic carditis, those with marked physical signs of
Rheumatic Fever or Chorea.
Group IV.—Rheumatic manifestations. Total: 143 cases.
Rheumatic Pains 110 (76.9%)
Rheumatic Fever 16 (11.2%)
Chorea 38 (26.6%)
Carditis, Definite 99 (69.2%)†
†Slight 58 (40.6%)
†Marked 41 (28.6%)
Carditis, Suspected 18 (12.6%)
Tonsillitis 21(14.6%)
Rheumatic Fever Cases.
There were 16 children who gave a definite history of
Rheumatic Fever. Of these, 3 had sound hearts, and 13 had
definite carditis.
Chorea Cases.
There were 16 cases of Chorea and 12 of a Prechoreiform type.
Of these, 7 had definite carditis, 13 slight or suspected, and 8 sound
hearts.
Family Histories.
In the case of 29 families (20.3 per cent.), either the father or
the mother had had rheumatic fever or chorea. In 12 other cases
(8.4 per cent.) a history of rheumatic fever was obtained in near
relatives of the parents. In the case of 27 children (18.9 per cent.)
their brothers or sisters gave a history of rheumatism or chorea.