An analytical study of certain of the clinical phenomena observed in 112 consecutive cases of chorea / by John Lindsay Steven, M.D., Physician and Lecturer on Clinical Medicine, Glasgow Royal Infirmary.

  • Steven, John Lindsay, 1859-1909.
Date:
[1899]
Catalogue details

Licence: Public Domain Mark

Credit: An analytical study of certain of the clinical phenomena observed in 112 consecutive cases of chorea / by John Lindsay Steven, M.D., Physician and Lecturer on Clinical Medicine, Glasgow Royal Infirmary. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    the father alone in 2 cases. We see then, as in the previous analysis, that in about 50 per cent, of the cases a distinct ten- dency to rheumatism in the family can be made out in chorea. This, I think, lends strong support to the opinion of Cheadle that chorea is essentially a rheumatic manifestation. (7) Association with Rheumatism and other Morbid States. Definite information on this point was obtained in the whole series of cases admitted into the wards, and is tabu- lated as follows: No history of antecedent rheumatism, History of antecedent rheumatism, History of subcutaneous fibrous nodules, History of other morbid states, - 8 cases. 1 „ 1 case. 5 cases. Total, - - 25 cases. In the present series of cases a distinctly larger proportion (almost 50 per cent.) had a definite rheumatic history. The history of fibrous nodules may be regarded as evidence of the presence of rheumatism. My experience with regard to the occurrence of nodules in rheumatism or chorea in child- hood is that the phenomenon is decidedly rare in Glasgow, and Osier tells us that the condition is also rare in the United States. I have been on the outlook for it for many years, but the case here included in the table is the only one in which I have met with it. The following table shows the other morbid .states which were associated with the chorea in the present series of cases: Bronchitis, ------- 1 case. Albuminuria, ------ 1 ,, Scarlet fever, ------ 3 cases. Total, - - 5 cases. It is well known that rheumatism frequently complicates scarlet fever, and therefore it is not surprising that we should find a history of its association with chorea in a certain number of cases.