ATYPICAL FEATURES OF RHEUMATIC FEVER IN YOUNG ADULTS

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Abstract
Rheumatic fever has been described so often and so well that the classic variety of the disease is universally recognized and promptly diagnosed, even by those whose experience in the field has not been large. That atypical forms of the acute phase of the disease exist and pass unrecognized is, however, well demonstrated by the frequent finding of late valvular disease among patients who give no history of an acute episode of fever or involvement of joints. In a large naval hospital where many patients with proved or suspected rheumatic fever were under observation, many of the atypical phases of the acute rheumatic state were seen and followed over considerable periods. It is the purpose of this paper to discuss some of the less well known clinical syndromes of rheumatic fever in the hope that such a report will assist others in the earlier diagnosis of similar cases. CRITERIA FOR

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