Chronic Postrheumatic-Fever (Jaccoud's) Arthritis

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Abstract
The relation of chronic deforming arthritis and valvular heart disease is complex and has been the source of a large number of investigations, both clinical and pathological. Earliest attention to this question followed the realization that the joint involvement in rheumatic fever was in some way related to the development of valvular heart disease. Later, the problem became one of distinguishing between the articular changes of acute rheumatic fever and chronic rheumatoid arthritis. This was simplified as knowledge of the course, the clinical characteristics, the x-ray features and, later, the serologic reactions of the two diseases became more familiar. Occasional . . .