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I. Epidemiology and Clinical Picture of Acute Rheumatic Fever

CAPT. HAROLD P. LAZAR, MC; CAPT. GERALD I. MAAS, MC; WENDELL R. LIPSCOMB, M.D.; COL. JAMES H. HAMMOND, MC; LOWELL A. RANTZ, M.D.

AMA Arch Intern Med. 1957;100(4):604-614.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Recent investigations into the etiology and pathogenesis of acute rheumatic fever ¹ have solidified the concept of a close relationship with streptococcal disease previously emphasized by numerous studies,^2-8 many involving military populations.

A unique opportunity to study streptococcal disease and acute rheumatic fever in epidemic proportions presented itself at a large northern California Air Force basic training center in the first half of 1955, when 58 cases of acute rheumatic fever were observed.

Epidemiologic investigations were pursued and detailed observations made of the clinical and laboratory features of acute rheumatic fever in epidemic form. Clinical impressions were also derived relating to the efficacy of salicylate and steroid therapy in young adult males, although a rigorously controlled study was not undertaken.

Background

Parks Air Force Base is a large U. S. A. F. installation located in the Amador Valley in a normally warm agricultural area about 15 miles east of . . . [Full Text PDF of this Article]

Author Affiliations
U.S.A.F.; Berkeley, Calif.; U.S.A.F., Parks Air Force Base, Calif.; San Francisco

Footnotes
Submitted for publication Feb. 11, 1957.

From the Department of Medicine and the Streptococcal Disease Control Board, 3275th U. S. A. F. Hospital, Parks Air Force Base, Calif., and the Department of Medicine, Stanford University School of Medicine, San Francisco. Aided by Grant No. H 700 from the National Heart Institute, National Institutes of Health.

Streptococcal Disease Control Coordinator; now at Michael Reese Hospital, Chicago; present address, 3550 Pine Grove Ave., Chicago 13 (Capt. Lazar). Member, Streptococcal Disease Control Board (Capt. Maas). Formerly, Preventive Medicine Officer, Parks Air Force Base, Calif.; present address, California State Department of Health, 2151 Berkeley Way, Berkeley 4, Calif. (Dr. Lipscomb). Chief, Department of Medicine, and Streptococcal Disease Control Officer (Col. Hammond). Professor of Medicine, Stanford University School of Medicine, and Consultant, 3275th U. S. A. F. Hospital, Parks Air Force Base, Calif. (Dr. Rantz).

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