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Rheumatic fever and rheumatic heart disease in children in North India
Authors:C. M. Mahajan  P. S. Bidwai  J. N. Berry  B. N. S. Walia
Affiliation:(1) Chandigarh
Abstract:Summary Data on 118 cases of rheumatic fever and rheumatic heart disease in the age group of 4–14 years are reported. 52.8% gave a past history of rheumatic fever or rheumatic heart disease. 72% cases showed evidence of rheumatie activity. Carditis was the commonest lesion seen in 71% patients. 56.8% cases were in congestive heart failure. Chorea and subcutaneous nodules were seen in 17.8% and 16.1% respectively—far more frequent than generally believed in our country. The presence of subcutaneous nodules without cardiac involvement and of arthritis or arthralgia in association with chorea seen in some children are reported. From the Department of Paediatrics and Cardiology, Post-graduate Institute of Medical Education and Research, Chandigarh-11.
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