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As the result of investigations carried out in Leeds, Vining thinks that his views that the frank rheumatic child is a child suffering from toxic debility with added rheumatic infection have been confirmed. The "toxic debility" child presents the symptoms of nervous instability, limb pains, headache, listlessness and anemia. In Leeds 25 per cent of the child population from the social sphere in which rheumatism usually comes show these phenomena in greater or less degree. The "toxic debility" children exhibit certain intestinal symptoms associated with mucus and membranous material in the stools. The actually rheumatic children suffer the same way.
Dietetic Aspects of Rheumatism in Children.. Ann Intern Med. 1928;2:229–230. doi: 10.7326/0003-4819-2-2-229_2
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Published: Ann Intern Med. 1928;2(2):229-230.
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