C. C. MCLEAN, M.D., F.A.C.P.
The early manifestations of rheumatic infections in children are characterized by an insidious onset. Such children are pale, easily fatigued, have poor appetites and are not gaining in weight as they should. Many complain of slight pains in the legs, feet or joints. There is often stiffness of limbs or neck. Digestive disturbances with paroxysmal abdominal pains are common. There is a change in disposition. The children become irritable, nervous, peevish and are easily frightened. Often there is a failure in mental concentration and they begin to drop objects and at times have difficulty in writing. There may be slight
MCLEAN CC. Early Manifestations of Rheumatic Infections in Young Children1. Ann Intern Med. 1932;5:1357–1366. doi: 10.7326/0003-4819-5-11-1357
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Published: Ann Intern Med. 1932;5(11):1357-1366.
Infectious Disease, Rheumatology.
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