RHEUMATIC NODULES

Abstract
It is commonly believed that rheumatic nodules are seen much less frequently in the United States than in England. In order to determine the facts in this matter, all the children showing rheumatic infection of any kind were observed in the Children's Medical Division of Bellevue Hospital for a considerable period. From fall until summer for three years, children with chronic cardiovalvular disease, acute rheumatic fever or chorea were given a systematic examination for the presence of nodules, at intervals of from one to two weeks. Notes were made as to the temperature, clinical course, etc. This study was undertaken on account of the large number of nodules which were observed in the winter and spring of 1923 to 1924. Observers at other hospitals in New York also noted this fact. Apparently that was a high peak of the incidence of rheumatic nodules, for in the three following years, they