Juvenile Rheumatism in London.

نویسندگان

F Bach

N G Hill

T W Preston

C E Thornton

چکیده

FOR the purpose of this paper it is to be understood that the term " juvenile rheumatism " refers to rheumatic disease occurring in children under the age of sixteen. This definition is convenient rather than scientific. It is convenient clinically, in that by far the greater number of initial attacks occur before the age of sixteen, and it has the further practical convenience that up to this age children come within the scope of the provisions of the Education Acts, whereby special facilities are available for treatment and supervision. Nevertheless it must be borne in mind that rheumatism of the juvenile type does occur in individuals above the age of sixteen, and that rheumatoid types of the disease resembling those found in adults sometimes occur in children. It should also be understood that the authors have restricted themselves to summarising facts connected with the clinical and sociological aspects of the disease; no attempt has been made to discuss or summarise the results of recent bacteriological or biochemical research. Though this work has revealed interesting and suggestive facts, further progress must be made before they can be applied by the clinician or influence the public health administrator in his endeavours to reduce the incidence or minimise the direful effects of juvenile rheumatism. For practical purposes juvenile rheumatism may be classified according to its manifestations into:

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