Table 1.
Clinical findings in adults (20 years and older),
Findings
Exposed group
Control group
No. of findings
No. of findings
Cardiac pathology
Cardiomegaly
Aortic valvular dis.
3
2
Skeletal disease
*
Arthritis
2
8
5
4
3
}
|
|
|
ASHD
Kyphoscoliosis
1
3
-
Sacroiliac pain
-
1
Infectious disease
Congenital syphilis
Leprosy
L
1
-
|
1
Neurological disease
Cerebrovascular accident
Genito-urinary findings
Urethral caruncle
Cystocele
,
L
-
2
-
Pregnancy
3
l
Diabetes
-
1
Oral pathology
Leukoplakia (buccal mucosa)
Papilloma - tongue
-
1
1
Desquamation - tongue
Hepatomegaly - unexplained
Table 2.
-
1
-
2
‘
Clinical findings in children (19 years and younger).
Findings
Exposed group
Control group
No, of findings
No. of findings
Rheumatic heart disease
1
-
Functional cardiac murmurs
Pregnancy
4
2
2
2
Cervical lymphadenopathy
Hepatomegaly - unexplained
1
4
1
Upper respiratory infection
during the past few months.
1
Important physical findings included:
1
BP 190/66; gener-
alized diminution of deep tendon reflexes; marked weakness and limitation of motion
of the right upper and left lower extremities with some muscular atrophy of the involved parts; and inability to walk without aid. These findings can best be explained on
the basis of a cerebrovascular accident.
The second case was that of an 1]l-year-old boy, #76, who was hospitalized in
January 1956 with acute rheumatic fever and cardiac decompensation, He improved on
salycilate and digitalis therapy and was discharged two weeks after admission. Pres-~ent findings include cardiomegaly with regular sinus rhythm and grade 2 systolic and
grade 3 diastolic apical cardiac murmurs. The diagnosis of rheumatic heart disease