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Chapter-37 Lessons Learnt from History of Rheumatic Heart Diseases

BOOK TITLE: Textbook of Cardiology (A Clinical & Historical Perspective)

Author
1. Vijayalakshmi IB
ISBN
9789350900819
DOI
10.5005/jp/books/12259_37
Edition
1/e
Publishing Year
2013
Pages
21
Author Affiliations
1. Children’s Heart Care Centre, Sri Jayadeva Institute of Cardiology, Bangalore, Karnataka, Bangalore Medical College and Research Institute Superspeciality Hospital, Pradhan Mantri Swasthya Suraksha Yojana Super Speciality Hospital, Bengaluru, Karnataka, India, Super Speciality Hospital (Pradhana Mantri Swasthya Suraksha Yojana-PMSSY), Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India, Sri Jayadeva Institute of Cardiovascular Sciences and Research; Super Specialty Hospital (Pradhana Mantri Swasthya Suraksha Yojana-PMSSY), Bengaluru Medical College and Research Institute, Bengaluru, Karnataka, India, Jayadeva Institute of Cardiology, Bengaluru, Karnataka, India, Bengaluru Medical College and Research Institute, Bengaluru, Karnataka, India, Super Specialty Hospital (Pradhana Mantri Swasthya, Suraksha Yojana – PMSSY), Bengaluru Medical College and Research Institute, Bengaluru, Karnataka, India
Chapter keywords
rheumatic fever, connective tissue, streptococcus family of bacteria, physicians, perplexing relation of the streptococcus to RF, pathophysiology and epidemiology of autoimmune disease

Abstract

Rheumatic fever (RF) is an illness of skin, brain, heart, connective tissue, blood and serum, tonsils and joints, all bound intimately to a member of the streptococcus family of bacteria that causes several human diseases. Rheumatic fever’s researchers have also been its historians. Understandably, the disease which challenged physicians at the bedside, in the laboratory or in the making of health policy has also stimulated historical reflection. These medical leaders have discussed some of the early descriptions and changing symptoms of the disease, analyzed the perplexing relation of the streptococcus to RF, detailed some of the social dimensions of RF, addressed the value of therapies and provided thoughtful appraisals of RF’s disappearance. The history of RF is of relevance to modern medicine because it has taught us much about the pathophysiology and epidemiology of autoimmune disease, and because RF is unique in the way that it has changed repeatedly over time.

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