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SAMUEL EPSTEIN, M.D.

AMA Arch Intern Med. 1957;99(2):253-259.

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

Soon after mitral commissurotomy became a frequent procedure, a clinical syndrome characterized by the occurrence of recurrent febrile episodes associated with pleuritis, pericarditis, pneumonitis, and occasional joint pains was recognized. Janton¹ (1952) was the first to call attention to this syndrome, which he called "pleuropericardial episodes." He considered it to be due to smoldering rheumatic activity, but found that direct evidence for this was lacking. In 1955 he wrote ² that in 8 of 41 living patients, there had been repeated postoperative episodes certain to be regarded even without laboratory verification as rheumatic activation. Soloff ³ stated "Because of the frequency of this syndrome following mitral commissurotomy and its absence following any other non-rheumatic cardiac or pulmonary surgery, and because of the frequent cardiac involvement, the syndrome should be regarded as reactivation of rheumatic fever." At first, most opinion was in agreement with that of Janton and of Soloff, . . . [Full Text PDF of this Article]

Author Affiliations
Brooklyn

From the Department of Medicine, Maimonides Hospital.

Footnotes
Recorded for publication June 13, 1956.

Read before the Section on Internal Medicine at the 105th Annual Meeting of the American Medical Association, Chicago, June 13, 1956.

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