Sydenham's Chorea without Evidence of Rheumatic Fever

Abstract

IN the one hundred and eighty years since Stoll¹ first suggested a relation between chorea and arthritis, the concept that Sydenham's chorea is usually a manifestation of rheumatic fever has gained general acceptance. However, the significance of chorea not obviously associated with rheumatic fever has remained a matter of controversy. Although some workers^{2 , 3} presently favor Roger's⁴ thesis that chorea is always rheumatic in origin, others^{5 , 6} prefer to divide choreic patients into a rheumatic group and a presumably nonrheumatic, or "pure," group.In considering the clinical significance of "pure" chorea, the present report calls attention to the rare group of patients . . .