JACOB M. CAHAN, M.D., F.A.C.P.
About 1 per cent of the 350,000 children in the public and parochial schools of Philadelphia2 have some form of heart disease. The main causes of heart affection, as is well known, are congenital developmental defects, rheumatic fever and other infections, syphilis and degenerative changes. Of these causes, congenital defects and rheumatic infection, chiefly, pertain to children of school age, and rheumatic heart disease by itself constitutes by far the most frequent variety. The common age at the onset of rheumatic infection coincides with the years of the child's school attendance, namely, from five to eighteen. In fact, the child
CAHAN JM. RHEUMATIC HEART DISEASE IN PHILADELPHIA SCHOOL CHILDREN1. Ann Intern Med. ;10:1752–1765. doi: 10.7326/0003-4819-10-12-1752
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Published: Ann Intern Med. 1937;10(12):1752-1765.
Infectious Disease, Rheumatology, Streptococcal Infections.
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