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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: 145 cases.
Rheumatic Pains 116 (80.0%)
Rheumatic Fever 14 (9.6%)
Chorea 19 (13.1%)
Carditis, Definite 55 (37.9%)*
Slight* 43 (29.6%)
Marked* 12 (8.3%)
Carditis, Suspected 31 (21.4%)
Tonsillitis 13 (9.0%)
Rheumatic Fever Cases.
There were 14 children who gave a definite history of
Rheumatic Fever. Of these, 3 had sound hearts, and 11 had
definite carditis.
Chorea Cases.
There were 10 cases of Chorea and 9 of a Prechoreiform type.
Of these, 1 had definite carditis, 13 slight or suspected, and 5 sound
hearts.
Family Histories.
In the case of 27 families (18.6 per cent.), either the father
or the mother had had rheumatic fever, chorea or juvenile
rheumatism. In 15 other cases (10.3%) a history of rheumatism
was obtained in near relatives of the parents. In the case of 20
children (13.8%) their brothers or sisters gave a similar history of
rheumatic manifestations.
Skin Conditions.
Recorded in 145 cases.
Fair 91 (62.8%)
Dark 54 (37.2%)