Presentation of CaseA seventeen-year-old schoolgirl entered the hospital because of fever and swelling of the ankles.At the age of three years, following an attack of acute appendicitis, the patient developed migratory polyarthritis, a heart murmur and chorea. She was kept in bed for six months, then allowed up on slightly restricted activity. When she was seven years old there was a second bout of migratory polyarthritis, of unknown duration, without recurrence of chorea. There were no cardiovascular symptoms. After the second attack she continued in good health until six months before admission, when she twisted her right leg . . .
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Cabot et al. (1946) studied this question.