Occasional lectures on the practice of medicine : addressed chiefly to the students of St. Mary's Medical School; : to which are appended the Harveian Lectures on the Rheumatism of Childhood; / revised and corrected up to date by W.B. Cheadle.

  • Cheadle, Walter B. (Walter Butler), 1835-1910.
Date:
1900
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Licence: In copyright

Credit: Occasional lectures on the practice of medicine : addressed chiefly to the students of St. Mary's Medical School; : to which are appended the Harveian Lectures on the Rheumatism of Childhood; / revised and corrected up to date by W.B. Cheadle. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    to and indistinguishable from that set up by the rheumatic poison. It is curious to observe, too, as previously mentioned, that the especial hability to acute articular rheumatism, which is so marked in girls, extends to this scarlatinal form, as shown by Dr. Gresswell; the numbers being twenty girls to nine boys, the inequality between the sexes being most marked after ten years of age. Bheumatoid Arthritis.—I had it in mind when I planned these lectures to.say something of rheumatoid arthritis. But the shortness of time and the length of the subject prevent my finding place for it. I will merely say that, although it is uncommon in childhood, it does occur, and, as Sir A. Garrod long ago pointed out, sometimes in its most severe and intrectable form. The d isease in children appears to be due to the same causes as in later life, and to differ in no material respect from the type with which we are familiar in adults. Treatment.—Almost the whole interest and import- ance of rheumatism in children centres in the cardiac inflammation and its results. The one great aim and object of treatment should be to minimise this danger as much as possible ; and the first point which I would urge is the necessity of being constantly on guard against an insidious attack of endocarditis or pericar- ditis. I have shown how it may accompany the slightest articular affection—may even arise without accompanying arthritis of any kind ; associated with chorea, or an exudative erythema, or an eruption of subcutaneous nodules; or it may arise apart from any