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August 28, 1909, Vol LIII, No. 9 >

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ARTICLE | August 28, 1909

ACUTE RHEUMATISM

JAMA. 1909;LIII(9):722. doi:10.1001/jama.1909.02550090058009.
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Acute articular rheumatism or rheumatic fever was first described in the middle of the eighteenth century by Boerhaave, who was himself a sufferer from the disease. His description was subsequently elaborated by one of his pupils, van Swieten, in his commentaries on the aphorisms of his distinguished master. Sydenham was one of the earliest observers to recognize the affection, and he has given a most admirable account of it. For a long time the disorder was attributed to changes in the chemical constitution of the blood, but modern investigation appears to have demonstrated conclusively its bacterial origin. It is true that there are many forms of arthritis, whether affecting a single joint or many joints, and due to divers causes, but among these true rheumatism stands out as an acute specific, apparently self-limited disease, with well-defined clinical and pathologic characteristics. According to the view of Dr. Norman Moore,1 who

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