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Cases of rheumatic fever in the London Hospital (1873-1881)

The y-axis for first attacks is on the right, and the y-axis for all attacks is on the left. Number of first attack = 659. Total number of all cases = 2000 (Church 1898). Church's graph was based on the work of British pathologist Henry Singer Gabbett (1851-1926) and, in particular, was used the summary data from Gabbett's table in his 1883 article in Lancet (Gabbett 1883; 1884).

Gabbett HS. On the seasons of the year and the prevalence of acute rheumatism. Lancet 1883;2:675-7, 720-2.
Gabbett HS. Seasonal variations of rheumatism. Pop Sci Month 1884;25:429.
Church WS. Acute rheumatism, or rheumatic fever. In: Albutt TC, editor. A System of Medicine, by Many Writers. New York: The MacMillan Co., London: MacMillan & Co., 1898;4:1-37.

(Illustration restored and edited by Dr. Douglas J Lanska.)

Associated Disorders

  • Arthritis
  • Athetosis
  • Carditis
  • Chorea gravidarum
  • Obsessive-compulsive behavior
  • Rheumatic fever
  • Streptococcal pharyngitis