The various manifestations of the rheumatic state as exemplified in childhood and early life : lectures delivered before the Harveian Society of London / by W. B. Cheadle.

  • Cheadle, Walter B. (Walter Butler), 1835-1910.
Date:
1889
Catalogue details

Licence: Public Domain Mark

Credit: The various manifestations of the rheumatic state as exemplified in childhood and early life : lectures delivered before the Harveian Society of London / by W. B. Cheadle. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

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    girls to 25 boys, or nearly two to one. After fifteen • there • is another change; the greater liability of girls gradually declines up to twenty, so that at the close of this period males again preponderate—viz. 76 to 67.‘ The greater proclivity of females, which has been noted up to twenty years of age, is then, in reality, chiefly due to their extraordinary liability to the disease during this particular period of from eleven to fifteen. A strong confirmation of this special susceptibility of young girls to rheumatic arthritis is afforded by the fact that the rule holds with regard to scarlatinal rheumatism. According to the statistics of 652 cases of scarlatina at the South- Western Fever Hospital noted by Dr. Gresswell, to whom I am greatly indebted for calling my attention to the point and for this information, it appears that the incidence of scarlatinal arthritis in girls and boys between three and ten years of age is about equal, just as in ordinary rheumatic arthritis—viz. four boys in 176 cases, 5 girls in 179 cases; between ten and fifteen, boys 0 in 42, girls 4 in 71, again in harmony with the results in ordinary rheumatism. The numbers are small, but as far as they go support the special susceptibility of girls to rheumatic ' Collective Investigation Becord, vol. iv. 1888. (Analysis of cases there given.)